NPIMap

Organization Active NPI

NSH South Milwaukee LLC

  • Skilled Nursing Facility
  • South Milwaukee, WI
National Provider Identifier
1902324700
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NSH SOUTH MILWAUKEE LLC
Practice address
3821 S Chicago Ave
South Milwaukee, WI 53172-3712
Phone
(414) 762-7336
NPI assigned
Sep 1, 2017
Last updated
Sep 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeff Hoehn
Title
Managing Member
Phone
(414) 962-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3821 S Chicago Ave
South Milwaukee, WI 53172-3712

Mailing address

5150 N Port Washington Rd Ste 260
Milwaukee, WI 53217-5470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171031003098 WI Part A Provider - Skilled Nursing Facility 2466728795 Practice locations: South Milwaukee, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902324700. Details of each certification follow.

Skilled nursing facility certification: CCN 525413

Legal name
NSH SOUTH MILWAUKEE LLC
Doing business as
WILLOWCREST HEALTH SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 21, 1988
Last certification
Mar 29, 2024
Beds
100
Ownership / control type
Limited Liability Corporation
Multi-facility organization
LAKESHORE HEALTH
Organization structure
LLCProprietary
Incorporated
Jun 29, 2017 in WI
Enrollment address
3821 S Chicago Ave
South Milwaukee, WI 53172-3712
Nursing home name
WILLOWCREST HEALTH SERVICES
Affiliated entity
NORTH SHORE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Willowcrest Health ServicesCCN 525413 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 21, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10074.9 residents per day on average
Chain
North Shore Healthcare59 facilities in the chain
Penalties (3 years)
1Fines totaling $21,285

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0718752Willowcrest Health Services3821 S Chicago Ave, South Milwaukee, WI 53172Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Mills Individual 5% Or Greater Indirect Ownership Interest Jun 29, 2017 20%
Jeffrey C Hoehn Individual 5% Or Greater Indirect Ownership Interest Jun 29, 2017 40%
Corporate DirectorCo-Manager, of NSH South Milwauk Jun 29, 2017 100%
W-2 Managing Employee Jun 29, 2017
North Shore Healthcare LLC Organization, Milwaukee, WI LLC Operational/Managerial Control Oct 1, 2017 100%
Troy T Baumann Individual 5% Or Greater Indirect Ownership Interest Jun 29, 2017 40%
Corporate DirectorCo-Manager, of NSH South Milwauk Jun 29, 2017 100%
NSHF Operations LLC Organization, Milwaukee, WI Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jul 24, 2017 100%

Facilities with the same owner 54

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 54

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504224000000",
    "number": "1902324700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N PORT WASHINGTON RD STE 260",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 S CHICAGO AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723712",
            "telephone_number": "414-762-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH SOUTH MILWAUKEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A",
        "authorized_official_last_name": "HOEHN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "414-962-5250"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.