OrganizationActive
Shell Lake Snf LLC
NPI 1295939049 · Nursing Facility/Intermediate Care Facility · Shell Lake, WI
Provider details
- NPI number
- 1295939049
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathon Hansen, Ceo(320) 828-7310
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Skilled Nursing Facility314000000X
Nursing & Custodial Care Facilities
Practice location
802 E Cty Hwy B
Shell Lake, WI 54871
Phone: (715) 468-4292
Fax: (715) 468-4232
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 642
Sauk Rapids, MN 56379-0642
Other names (DBA / former)
- Doing business as
- Shell Lake Health Care Center
Registry dates
- Enumerated
- 2007-06-14
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.