NPIMap

Organization Active NPI

Complete Care at Hyattsville LLC

  • Skilled Nursing Facility
  • Hyattsville, MD
National Provider Identifier
1114632098
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COMPLETE CARE AT HYATTSVILLE LLC
Practice address
4922 Lasalle Rd
Hyattsville, MD 20782-3302
Phone
(301) 864-2333
NPI assigned
Jan 16, 2023
Last updated
May 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Shalom Stein
Title
Ceo
Phone
(732) 313-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

4922 Lasalle Rd
Hyattsville, MD 20782-3302

Mailing address

4922 Lasalle Rd
Hyattsville, MD 20782-3302

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230304000086 MD Part A Provider - Skilled Nursing Facility 4981077310 Practice locations: Hyattsville, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114632098. Details of each certification follow.

Skilled nursing facility certification: CCN 215145

Legal name
COMPLETE CARE AT HYATTSVILLE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1982
Last certification
Mar 9, 2023
Beds
270
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Complete Care
Organization structure
LLCProprietary
Enrollment address
4922 Lasalle Road
Hyattsville, MD 20782-3302
Nursing home name
COMPLETE CARE AT HYATTSVILLE
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at HyattsvilleCCN 215145 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
270267.1 residents per day on average
Chain
Complete Care85 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Nisanel Yaakov Silverberg Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Peace Capital Holdings LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 90.2%
Adp of the SNF Feb 1, 2023
PC MD5 Propco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
Daniel Sternbuch Individual Operational/Managerial Control Feb 1, 2023
Indirect Ownership Interest Feb 1, 2023 4.9%
Hyattsville MD Propco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
Adesse MD Peace MD5 Propco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
Melissa Mansfield Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Adesse MD5 Propco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
Jacob Klugman Individual Indirect Ownership Interest Feb 1, 2023 4.9%
PC MD5 Topco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 90.2%
Adp of the SNF Feb 1, 2023
SMS 2021 Trust Organization, Lakewood, NJ Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 85.78%
Adp of the SNF Feb 1, 2023
Adesse Holdings LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
HC Family Trust Organization, Toms River, NJ For-profit Adp of the SNF Feb 1, 2023
Betty Chung Individual Operational/Managerial Control Mar 13, 2025
Adp of the SNF Mar 13, 2025
Vickie L Cox Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Aaron Smith Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
PC MD5 Opco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2023 100%
Akiva Schonfeld Individual Trustee of the SNF Feb 1, 2023
Adp of the SNF Feb 1, 2023
Robert P McNeil Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Des Capital LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Feb 1, 2023 4.9%
MD 4 Propco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
JRK Investments LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Feb 1, 2023 4.9%
Shalom Stein Individual Corporate Officer Feb 1, 2023
Managing Control - Governing Body Feb 1, 2023
Trustee of the SNF Feb 1, 2023
Indirect Ownership Interest Feb 1, 2023 4.42%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Robert McNeil, M.D.
    • Geriatric Medicine (Internal Medicine) Physician
    • Hyattsville, MD
    • NPI 1538365168

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 66

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 66

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1114632098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 LASALLE RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 LASALLE RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823302",
            "telephone_number": "301-864-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT HYATTSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-313-0880"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.