NSH-COURT Manor LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 0446534432 Enrollment ID O20170313001534

Linked facilitiesFacilities

StatesStates

4 parties: 2 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
North Shore Healthcare LLC	3779867148	Organization	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Other	100
Nshc Wisconsin LLC	7214211689	Organization	5% or Greater Direct Ownership Interest; Operational/Managerial Control	100
Jeffrey C Hoehn	3678500899	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; Operational/Managerial Control	50
Troy T Baumann	3870895907	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; Operational/Managerial Control	50

North Shore Healthcare LLCPAC 3779867148
Organization1005% or Greater Indirect Ownership Interest; Operational/Managerial Control
Nshc Wisconsin LLCPAC 7214211689
Organization1005% or Greater Direct Ownership Interest; Operational/Managerial Control
Jeffrey C HoehnPAC 3678500899
Individual505% or Greater Direct Ownership Interest; Corporate Officer
Troy T BaumannPAC 3870895907
Individual505% or Greater Direct Ownership Interest; Corporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Court Manor Health Services NSH-COURT Manor LLC 43 residents		Other disclo…	3.92	Ovr★★★☆☆Stf★★★★☆Ins★★★☆☆QM★★☆☆☆	43

Court Manor Health Services
NSH-COURT Manor LLC
Other disclosed role43 res3.92 HPRD
Overall 3Staffing Staff 4

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
12/21/2016	Court Manor Health Services	NSH-COURT Manor LLC	Ggnsc Ashland LLC	Buyer

12/21/2016
Court Manor Health Services (Buyer)
Ggnsc Ashland LLC → NSH-COURT Manor LLC

Related CMS associates

Name match to NSH-COURT Manor LLC in FEC filings. Similar names may appear—confirm on FEC.gov.