NSH SUMMIT LLC (NPI# 1033637889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033637889 |
| Entity Type | Organization |
| Organization Name | NSH SUMMIT LLC |
| Practice Address |
2195 N Summit Village Way Oconomowoc WI 53066-8675 |
| Mailing Address |
5150 N Port Washington Rd Milwaukee WI 53217-5474 |
| Practice Telephone | 2625674662 |
| Mailing Telephone | 4149625250 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | JEFF HOEHN (MANAGING MEMBER) |
| Authorized Official Telephone | 4149625250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NSH SUMMIT LLC | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 |
| Street Address |
2195 N SUMMIT VILLAGE WAY |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-8675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255572459 | Kristin Clevenstine | Occupational Therapist | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2009-03-18 |
| 1386127728 | Nicole Felkl | Physical Therapy Assistant | 2195 N Summit Village Way, Oconomowoc, WI 53066 | 2018-09-12 |
| 1669953329 | Danielle Loren Jaeger | Physical Therapist | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2018-08-22 |
| 1346621018 | Allyson Waskosky | Occupational Therapist | 2195 N Summit Village Way, Oconomowoc, WI 53066 | 2015-06-17 |
| 1154762912 | Elizabeth Widicus | Occupational Therapist | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2013-07-09 |
| 1649556275 | Sarah Krahn | Occupational Therapy Assistant | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2011-10-27 |
| 1720364565 | Caroline Cipriano Hanneman | Physical Therapist | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2011-10-25 |
| 1295011161 | Erik Labinski | Physical Therapy Assistant | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2011-10-24 |
| 1467749945 | Sherri Bourdo | Physical Therapist | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2011-07-05 |
| 1942519996 | Lynn Marie Vesel | Physical Therapist | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2010-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508852708 | Lutheran Homes of Oconomowoc Inc. | Skilled Nursing Facility | 1305 W Wisconsin Ave, Oconomowoc, WI 53066-2646 | 2005-09-22 |
| 1740515246 | Jaime M Troedel | Skilled Nursing Facility | 2195 N Summit Village Way, Oconomowoc, WI 53066 | 2009-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
| 1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
| 1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
| 1366895583 | Jeffrey Alan Weinshrott | Skilled Nursing Facility | 336 Wisconsin Ave, Sheboygan, WI 53081-4183 | 2016-07-22 |
| 1720433378 | Kendra Meyers | Skilled Nursing Facility | 1806 N Hume Ave Apt 4, Marshfield, WI 54449-1677 | 2016-05-02 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| Find all providers with the same taxonomy | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.