Samaritan Nursing and Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SAMARITAN NURSING AND REHAB LLC

Practice address

531 E Washington St
West Bend, WI 53095-2531

Phone

(262) 335-4500

NPI assigned

May 29, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacob Jeidel

Title

Sole Member

Phone

(917) 750-5089

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Skilled nursing facility certification: CCN 525165

Legal name

SAMARITAN NURSING AND REHAB LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 27, 1967

Last certification

Jan 29, 2025

Beds

131

Ownership / control type

Corporation

Multi-facility organization

EOM

Most recent change of ownership

Jul 1, 2024

Organization structure

LLCProprietary

Incorporated

Jul 1, 2024 in WI

Enrollment address

531 E Washington St
West Bend, WI 53095-2531

Nursing home name

SAMARITAN NURSING AND REHAB

Affiliated entity

SHLOMO HOFFMAN

Listed as

Samaritan Nursing and RehabCCN 525165 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 27, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

13177.6 residents per day on average

Chain

Shlomo Hoffman10 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

3Fines totaling $210,298

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Stephanie Marie Strohbeen

  • Internal Medicine Physician
  • Brookfield, WI
  • NPI 1083291207

  Nursing home

  Care Compare affiliation
• Brian Roland Wolter, M.D.

  • Family Medicine Physician
  • West Bend, WI
  • NPI 1588638498

  Nursing home

  Care Compare affiliation
• Aji Binta Njie, M.D.

  • Infectious Disease Physician
  • Worcester, MA
  • NPI 1295120368

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1023858909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 E WASHINGTON ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 E WASHINGTON ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952531",
            "telephone_number": "262-335-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "JEIDEL",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "917-750-5089"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel E Sajdak, DO
• Tammy Nicole Salas, M.S. CCC-SLP
• Samaritan Fields CBRF LLC
• Samaritan Fields Rcac LLC
• Samaritan Health Center Subacute Unit
• Charles E Sammis, DO
• Warren W Samplaski, RPH
• Carlos R Sanabria, MD
• Cloetta Sanders
• Hadwat A. Sankari, LCSW

• Skilled Nursing Facility in West Bend, WI
• Providers in West Bend, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.