NSH PLYMOUTH-SOUTHERN LLC (NPI# 1316580277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316580277 |
| Entity Type | Organization |
| Organization Name | NSH PLYMOUTH-SOUTHERN LLC |
| Practice Address |
930 E Clifford St Plymouth WI 53073-2451 |
| Mailing Address |
5150 N Port Washington Rd Ste 260 Milwaukee WI 53217-5470 |
| Practice Telephone | 9208934777 |
| Mailing Telephone | 4149625250 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | JEFFREY HOEHN (MANAGING MEMBER) |
| Authorized Official Telephone | 4149625250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Southern Horizon Assisted Living | Doing Business As Name - Organization |
| Street Address |
930 E CLIFFORD ST |
| City | PLYMOUTH |
| State | WI |
| Zip Code | 53073-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245889914 | Patricia M. Stone | Technician | 440 Stoneybrook Lane, Plymouth, WI 53073 | 2019-09-05 |
| 1801387501 | Kwon Yang | Dentist | W 9071 Forest Drive, Plymouth, WI 53073 | 2018-05-29 |
| 1396258752 | Advanced Dental Care Clinic Sc | Clinic/Center | 62 S Pleasant View Road, Plymouth, WI 53073 | 2017-11-08 |
| 1164888004 | Lukresse Tatiana Kouam Tchuendem | Registered Nurse | 236 N Milwaukee St, Plymoth, WI 53073 | 2016-01-07 |
| 1831447424 | Lori Ann Schuette | Registered Nurse | 406 Summit Street, Plymouth, WI 53073 | 2012-08-29 |
| 1821360967 | Kristine Marie Van Ess | Case Manager/Care Coordinator | 7135 Rocky Knoll Pkwy, Plymouth, WI 53073 | 2012-02-06 |
| 1750699708 | Shannon Diamond | Physical Therapist | 825 Walton Drive, Plymouth, WI 53073 | 2010-09-23 |
| 1306088265 | Lacey Lyn Schafer | Nurse Practitioner | W9071 Forest Dr, Plymouth, WI 53073 | 2009-03-24 |
| 1275780868 | Stella D. Kaas-lallensack | Occupational Therapist | W5774 Garton Rd, Plymouth, WI 53073 | 2008-08-26 |
| 1912172248 | Judith A Nelson | Registered Nurse | N7116 County Road E, Plymouth, WI 53073 | 2008-04-28 |
| Find all providers in zip 53073 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740823145 | Two Sisters Holdings LLC | Assisted Living Facility | 18040 Medina Rd, Plymouth, MN 55446-2920 | 2019-10-18 |
| 1912549486 | Szr Northville Assisted Living, LLC | Assisted Living Facility | 16100 N Haggerty Rd, Plymouth, MI 48170-4857 | 2019-10-16 |
| 1497262224 | Rajo Care Home Inc | Assisted Living Facility | 14015 Rockford Rd, Plymouth, MN 55447 | 2018-01-02 |
| 1174947824 | Plymouth Senior Housing, LLC | Assisted Living Facility | 16205 36th Ave N, Plymouth, MN 55446-3374 | 2014-02-14 |
| 1164863395 | Joseph's Chateau LLC | Assisted Living Facility | 12715 42nd Pl N, Plymouth, MN 55442-2350 | 2013-07-16 |
| 1477740215 | A&r Open Door Inc | Assisted Living Facility | 14215 46th Pl N, Plymouth, MN 55446-3494 | 2007-09-25 |
| 1326163056 | B-xii Plymouth LLC | Assisted Living Facility | 157 South St, Plymouth, MA 02360-7605 | 2007-03-20 |
| 1720144363 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 15855 22nd Ave N, Plymouth, MN 55447-6452 | 2006-12-28 |
| 1952319899 | Miller's Health Systems, Inc. | Assisted Living Facility | 625 Oakhill Ave, Plymouth, IN 46563-3064 | 2006-08-04 |
| 1518955277 | Cornerstone Assisted Living of Plymouth, Inc. | Assisted Living Facility | 3750 Lawndale Ln N, Plymouth, MN 55446-2967 | 2005-10-07 |
| Find all providers in PLYMOUTH | ||||
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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.