NPIMap

Organization Active NPI

Complete Care at Groton Regency LLC

  • Skilled Nursing Facility
  • Groton, CT
National Provider Identifier
1124795190
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 GROTON REGENCY LLC
Practice address
1145 Poquonnock Rd
Groton, CT 06340-4620
Phone
(860) 446-9960
NPI assigned
Aug 26, 2021
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
Authorized Representative
Phone
(732) 313-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1145 Poquonnock Rd
Groton, CT 06340-4620

Mailing address

1145 Poquonnock Rd
Groton, CT 06340-4620

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 CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211129000425 CT Part A Provider - Skilled Nursing Facility 6608266093 Practice locations: Groton, CT

Skilled nursing facility certification: CCN 075270

Legal name
COMPLETE CARE AT GROTON REGENCY LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 26, 1976
Last certification
Mar 27, 2024
Beds
130
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Complete Care
Organization structure
LLCProprietary
Enrollment address
1145 Poquonnock Rd
Groton, CT 06340-4620
Nursing home name
COMPLETE CARE AT GROTON REGENCY
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at Groton RegencyCCN 075270 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 26, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
162121.5 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
Tax ID family
Complete Care at Groton Regency LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Peace Capital Holdings LLC Organization, Howell, NJ LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%
SMS 2021 Trust Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2021 95.1%
PC Wta Opco Holdco LLC Organization, Howell, NJ LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%
PC CT Opcos LLC Organization, Toms River, NJ LLC 5% Or Greater Direct Ownership Interest Sep 1, 2021 100%
Robert J Hoch Individual W-2 Managing EmployeeOperator Sep 1, 2021
Shalom Stein Individual Corporate OfficerCeo Sep 1, 2021

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

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1124795190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404620",
            "telephone_number": "860-446-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT GROTON REGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "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": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "732-313-0880"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "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 Groton, CT

Sources for this page

Verify at the official NPI Registry.