NSH Randolph LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NSH RANDOLPH LLC

Practice address

502 S High St
Randolph, WI 53956-1499

Phone

(920) 326-3171

Fax

(920) 326-3239

NPI assigned

Nov 11, 2016

Organization subpart

No

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

Authorized official

Name

Jeffrey Charles Hoehn

Title

Managing Member

Phone

(636) 698-8600

Specialties & licenses 1

Addresses

Other names 1

• Continental Manor of Randolph Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Skilled nursing facility certification: CCN 525355

Legal name

NSH RANDOLPH LLC

Doing business as

RANDOLPH HEALTH SERVICES

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1984

Last certification

Dec 18, 2024

Beds

84

Ownership / control type

Corporation

Multi-facility organization

North Shore Health

Organization structure

LLCProprietary

Incorporated

Sep 26, 2016 in WI

Enrollment address

502 S High St
Randolph, WI 53956-1499

Nursing home name

RANDOLPH HEALTH SERVICES

Affiliated entity

NORTH SHORE HEALTHCARE

Listed as

Randolph Health ServicesCCN 525355

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 1, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8456.8 residents per day on average

Chain

North Shore Healthcare59 facilities in the chain

Penalties (3 years)

1Fines totaling $49,572

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 16

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Paula Hardgrove, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Sun Prairie, WI
  • NPI 1245592088

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 133

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

• Bay Area Lutheran Homes Inc

  • Skilled Nursing Facility
  • Green Bay, WI
  • NPI 1780756890

  Cliftonlarsonallen LLP, Wipfli LLP

  CMS ownership
• Bethany-St Joseph Corporation

  • Skilled Nursing Facility
  • Onalaska, WI
  • NPI 1033102983

  Wipfli LLP

  CMS ownership
• Bethany-St Joseph Corporation

  • Skilled Nursing Facility
  • La Crosse, WI
  • NPI 1356334205

  Wipfli LLP

  CMS ownership
• County of Sheboygan

  • Skilled Nursing Facility
  • Plymouth, WI
  • NPI 1003988049

  Wipfli LLP

  CMS ownership
• Four Winds Manor, Inc.

  • Skilled Nursing Facility
  • Verona, WI
  • NPI 1902895592

  Wipfli LLP

  CMS ownership
• Good Shepherd Home, LTD

  • Skilled Nursing Facility
  • Seymour, WI
  • NPI 1235106725

  Wipfli LLP

  CMS ownership
• Maryhill Manor Inc

  • Skilled Nursing Facility
  • Niagara, WI
  • NPI 1336143726

  Wipfli LLP

  CMS ownership
• NSH Altoona LLC

  • Skilled Nursing Facility
  • Altoona, WI
  • NPI 1760900559

  Cibc Bank USA, Cliftonlarsonallen LLP, Continuum Therapy Partners LLC, North Shore Healthcare LLC, NSH Rehab LLC, Wipfli LLP

  CMS ownership
• NSH Ashland LLC

  • Skilled Nursing Facility
  • Ashland, WI
  • NPI 1891268454

  North Shore Healthcare LLC

  CMS ownership
• NSH Cedarburg LLC

  • Skilled Nursing Facility
  • Cedarburg, WI
  • NPI 1891213625

  North Shore Healthcare LLC

  CMS ownership
• NSH Colby LLC

  • Skilled Nursing Facility
  • Colby, WI
  • NPI 1568272763

  Cibc Bank USA, Cliftonlarsonallen LLP, Continuum Therapy Partners LLC, Wipfli LLP

  CMS ownership
• NSH Cornell LLC

  • Skilled Nursing Facility
  • Cornell, WI
  • NPI 1417475245

  Continuum Therapy Partners LLC, North Shore Healthcare LLC, NSH Rehab LLC, Wipfli LLP

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Dybala

  • Occupational Therapy Assistant
  • Appleton, WI
  • NPI 1003221888
  NPD (past)

Affiliated clinicians 4

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

• Erin R Lambert, DO

  • Family Medicine Physician
  • Beaver Dam, WI
  • NPI 1386888535

  Nursing home

  Care Compare affiliation
• Melissa Elaine Lucarelli, MD

  • Family Medicine Physician
  • Randolph, WI
  • NPI 1336102169

  Nursing home

  Care Compare affiliation
• Amy J Muchow, MD

  • Internal Medicine Physician
  • Beaver Dam, WI
  • NPI 1598717837

  Nursing home

  Care Compare affiliation
• Samuel G. Poser, M.D.

  • Internal Medicine Physician
  • Columbus, WI
  • NPI 1346243821

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1972045698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N PORT WASHINGTON RD",
            "address_2": "SUITE 260",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532175474",
            "telephone_number": "414-962-5250",
            "fax_number": "414-962-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S HIGH ST",
            "city": "RANDOLPH",
            "state": "WI",
            "postal_code": "539561499",
            "telephone_number": "920-326-3171",
            "fax_number": "920-326-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH RANDOLPH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "HOEHN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "636-698-8600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Continental Manor of Randolph Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Elaine Lucarelli, MD
• Amy Medema
• Stefanie Jo Moldenhauer, RN
• Linda Katherine Mulder, PA
• Susan K North, PTA
• Kristen Rabensdorf
• Randolph Community Clinic SC
• Randolph Community Rescue Ambulance
• Randolph Family Dental LLC
• Randolph School District

• Skilled Nursing Facility in Randolph, WI
• Providers in Randolph, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.