Nsh SHAWANO-EVERGREEN LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4183058324 Enrollment ID O20191223000783

Details

Linked facilitiesFacilities
1
StatesStates
1

20 parties: 10 organizations · 10 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Cibc Bank Usa8426229584Organization5% or Greater Mortgage Interest; 5% or Greater Security Interest; Operational/Managerial Control100
Jeffrey C Hoehn3678500899Individual5% or Greater Indirect Ownership Interest; Corporate Director; Operational/Managerial Control36
Troy T Baumann3870895907Individual5% or Greater Indirect Ownership Interest; Corporate Director; Operational/Managerial Control36
Jennifer Gossen3072029867IndividualOperational/Managerial Control; ADP of the SNF
Continuum Therapy Partners LLC5698284966OrganizationOperational/Managerial Control; ADP of the SNF
Nsh Rehab LLC5092220152OrganizationOperational/Managerial Control; ADP of the SNF
Wipfli LLP4486938859OrganizationOperational/Managerial Control; ADP of the SNF
Lauren Greer3476062746IndividualOperational/Managerial Control; ADP of the SNF
Colleen Patzer6103335476IndividualOperational/Managerial Control; ADP of the SNF
Madhavi Reddy Cherukula6204107089IndividualOperational/Managerial Control; ADP of the SNF
Darren Gee9537222583IndividualOperational/Managerial Control; ADP of the SNF
Cliftonlarsonallen LLP1456885441OrganizationOperational/Managerial Control; ADP of the SNF
North Shore Healthcare LLC3779867148OrganizationOperational/Managerial Control; ADP of the SNF
Christina Belongia4385153659IndividualOperational/Managerial Control; ADP of the SNF
Brian Purtell0446426969IndividualOperational/Managerial Control; ADP of the SNF
Nshr Operations LLC0143654442Organization5% or Greater Direct Ownership Interest100
David Mills2567379241Individual5% or Greater Indirect Ownership Interest18
Arrowhead 123 LLC8325472624Organization5% or Greater Indirect Ownership Interest; ADP of the SNF10
The Lane Morrell Bowen Trust3971937277Organization5% or Greater Indirect Ownership Interest10
Nsh 1250 Evergreen Street LLC5395251177OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Evergreen Health Services
Nsh SHAWANO-EVERGREEN LLC
38 residents
Other disclo…
3.58Ovr★★☆☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★☆☆38
  • Nsh SHAWANO-EVERGREEN LLC
    Other disclosed role38 res3.58 HPRD
    Overall 2Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
12/01/2019Evergreen Health ServicesNsh SHAWANO-EVERGREEN LLCEvergreen Care Center LLCBuyer
  1. 12/01/2019
    Evergreen Care Center LLCNsh SHAWANO-EVERGREEN LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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