Shell Lake Snf LLC
NPI 1295939049ActiveOrganization· Nursing Facility/Intermediate Care Facility· Shell Lake, WI
Nursing Facility/Intermediate Care Facility in Shell Lake, Wisconsin, registered in NPPES in June 2007. The authorized official on file is Jonathon William Hansen, Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1295939049 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2007 |
| Last updated in NPPES | Aug 18, 2025 |
| Certified by provider | Aug 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | 2748 | WI |
| Skilled Nursing Facility | 314000000X | — | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (WI) |
|---|