NPIMap

Organization Active NPI

Bedrock HCS at Abbotsford LLC

  • Skilled Nursing Facility
  • Abbotsford, WI
National Provider Identifier
1154971364
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEDROCK HCS AT ABBOTSFORD LLC
Practice address
600 E Elm St
Abbotsford, WI 54405-9682
Phone
(715) 223-2359
NPI assigned
Sep 19, 2019
Last updated
Sep 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Esther Tillim
Title
Bookkeeper
Phone
(732) 328-7499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

600 E Elm St
Abbotsford, WI 54405-9682

Mailing address

Workspace at Bitbean 1776 Ave of the States
Suite 302 C/O Esther Tillim
Lakewood, NJ 08701
Phone (732) 328-7499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191114003100 WI Part A Provider - Skilled Nursing Facility 7810329737 Practice locations: Abbotsford, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154971364. Details of each certification follow.

Skilled nursing facility certification: CCN 525435

Legal name
BEDROCK HCS AT ABBOTSFORD LLC
Doing business as
ABBOTSFORD HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1989
Last certification
Apr 3, 2025
Beds
78
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Bedrock HCS
Most recent change of ownership
Oct 1, 2020
Organization structure
LLCProprietary
Incorporated
Jun 28, 2019 in WI
Enrollment address
600 E Elm St
Abbotsford, WI 54405-9682
Nursing home name
ABBOTSFORD HEALTH CARE CENTER
Affiliated entity
BEDROCK HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Abbotsford Health Care CenterCCN 525435 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7842.3 residents per day on average
Chain
Bedrock Healthcare9 facilities in the chain
Penalties (3 years)
1Fines totaling $15,939

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0671055Bedrock HCS at Abbotsford600 E Elm St, Abbotsford, WI 54405Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Martin Chopp Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 20%
Adp of the SNF Oct 1, 2019
Bedrock HC Wi LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
Opal Healthcare Wi LLC Organization, Toms River, NJ Management services company Operational/Managerial Control Oct 1, 2019
Adp of the SNF Mar 26, 2025
Solomon Chopp Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 20%
Adp of the SNF Oct 1, 2019
Sherry L Goodman Individual Operational/Managerial Control Apr 9, 2025
Adp of the SNF Apr 9, 2025
Pnina Chopp Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 60%
Adp of the SNF Oct 1, 2019
Ruth Mahmood Individual Operational/Managerial Control Jun 8, 2025
Adp of the SNF Jun 8, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 1

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.

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": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1154971364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WORKSPACE AT BITBEAN 1776 AVE OF THE STATES",
            "address_2": "SUITE 302 C/O ESTHER TILLIM",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-328-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E ELM ST",
            "city": "ABBOTSFORD",
            "state": "WI",
            "postal_code": "544059682",
            "telephone_number": "715-223-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDROCK HCS AT ABBOTSFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "TILLIM",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "732-328-7499"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbotsford, WI

Sources for this page

Verify at the official NPI Registry.