Nsh Manitowoc LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 0941576516 Enrollment ID O20171026000717

Linked facilitiesFacilities

StatesStates

5 parties: 2 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
North Shore Healthcare LLC	3779867148	Organization	Operational/Managerial Control	100
Troy T Baumann	3870895907	Individual	5% or Greater Indirect Ownership Interest; Corporate Director; W-2 Managing Employee	40, 100
Nshf Operations LLC	9436425162	Organization	5% or Greater Direct Ownership Interest	100
Jeffrey C Hoehn	3678500899	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer; Corporate Director	40, 100
David Mills	2567379241	Individual	5% or Greater Indirect Ownership Interest	20

North Shore Healthcare LLCPAC 3779867148
Organization100Operational/Managerial Control
Troy T BaumannPAC 3870895907
Individual40, 1005% or Greater Indirect Ownership Interest; Corporate Director
Nshf Operations LLCPAC 9436425162
Organization1005% or Greater Direct Ownership Interest
Jeffrey C HoehnPAC 3678500899
Individual40, 1005% or Greater Indirect Ownership Interest; Corporate Officer
David MillsPAC 2567379241
Individual205% or Greater Indirect Ownership Interest

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
River's Bend Health Services Nsh Manitowoc LLC 84 residents		Other disclo…	3.56	Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM★★☆☆☆	84

River's Bend Health Services
Nsh Manitowoc LLC
Other disclosed role84 res3.56 HPRD
Overall 3Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
10/01/2017	River's Bend Health Services	Nsh Manitowoc LLC	Fmg South Rapids Road Wisconsin LLC	Buyer

10/01/2017
River's Bend Health Services (Buyer)
Fmg South Rapids Road Wisconsin LLC → Nsh Manitowoc LLC

Related CMS associates

Name match to Nsh Manitowoc LLC in FEC filings. Similar names may appear—confirm on FEC.gov.