NPIMap

Organization Active NPI

Brooklyn Community Estate, Inc.

Doing business as Brooklyn Community Estates

  • Skilled Nursing Facility
  • Brooklyn, IA
National Provider Identifier
1164416905
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
790412 Issued in IA
Legal business name
BROOKLYN COMMUNITY ESTATE, INC.
Doing business as
Brooklyn Community Estates
Practice address
406 North St
Brooklyn, IA 52211-9444
Phone
(641) 522-9263
Fax
(641) 764-5989
NPI assigned
Sep 8, 2005
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Shane Michael Sissel, M.S.W.
Title
Owner/Administrator
Phone
(641) 522-9263

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 790412 IA
Skilled Nursing Facility 314000000X 790412 IA Primary

Addresses

Primary practice location

406 North St
Brooklyn, IA 52211-9444

Mailing address

406 North St
Brooklyn, IA 52211-9444
Phone (641) 522-9263

Other names 1

  • Brooklyn Community Estates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090727000553 IA Part A Provider - Skilled Nursing Facility 1759434566 Practice locations: Brooklyn, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164416905. Details of each certification follow.

Skilled nursing facility certification: CCN 165594

Legal name
BROOKLYN COMMUNITY ESTATE INC
Doing business as
BROOKLYN COMMUNITY ESTATES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 2009
Last certification
May 7, 2025
Beds
50
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
406 North St
Brooklyn, IA 52211-9444
Nursing home name
BROOKLYN COMMUNITY ESTATES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brooklyn Community EstatesCCN 165594 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5043.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
PM Acquisition LLC Organization, Iowa City, IA LLC, Consulting firm, For-profit Adp of the SNF Mar 31, 2015
Bakerstarrett LLP Organization, Grinnell, IA LLC, Consulting firm, For-profit Adp of the SNF Jul 17, 2020
Christina Kasal Individual Operational/Managerial Control Jul 8, 1996
Andrea Devilder Individual Operational/Managerial Control Jul 26, 2010
Susan R Sissel Individual 5% Or Greater Direct Ownership InterestVice President Oct 30, 2012 33.33%
Corporate OfficerVice President Oct 1, 2012
Adp of the SNF Oct 30, 2012
Senescence Solutions Inc Organization, Marengo, IA Corporation, For-profit Operational/Managerial Control Nov 14, 2012 100%
Access Technologies Inc Organization, Waukee, IA Corporation, For-profit Adp of the SNF Oct 24, 2017
Brian J Heineman Individual Operational/Managerial Control Apr 30, 2012
Adp of the SNF Oct 15, 2025
Shane M Sissel Individual 5% Or Greater Direct Ownership Interest Oct 30, 2012 66.6%
Corporate OfficerPresident Oct 30, 2012 66.6%
Corporate DirectorDirector Oct 30, 2012 66.6%
Operational/Managerial ControlAdministrator Oct 1, 2012 100%
Adp of the SNF Oct 1, 2012
Cattail Inc Organization, Muscatine, IA Corporation, For-profit Adp of the SNF Oct 1, 2024
BCG Holdings Inc Organization, Waukee, ID Corporation, For-profit Adp of the SNF Oct 1, 2024
Iowa Health Care Association Organization, West Des Moines, IA Corporation, Non-profit Adp of the SNF Oct 1, 2024
Ecsi Inc Organization, West Des Moines, IA Corporation, For-profit Adp of the SNF Oct 1, 2024
Leslie Kirkpatrick Individual Corporate OfficerSecretary Apr 1, 2020
Lisa Sanchez-Granados Individual Operational/Managerial Control Aug 9, 2017
Keystone Savings Bank Organization, Marengo, IA Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Oct 30, 2012 64%
Adp of the SNF Jan 1, 2016
Tiffany Schafbuch Individual Operational/Managerial Control Jun 10, 2023
J Evans Nutrition Consulting LLC Organization, Cambridge, IA LLC, Consulting firm, For-profit Adp of the SNF Nov 30, 2022
Cattail BCG LLC Organization, Muscatine, IA LLC, For-profit Adp of the SNF Oct 1, 2024
Key Rehabilitation Inc Organization, Murfreesboro, TN Corporation, Consulting firm, For-profit Adp of the SNF Jan 31, 2012
Robert Hall Individual Operational/Managerial Control Jun 29, 2020
Brighton Consulting Group LLC Organization, Urbandale, IA LLC, Consulting firm, For-profit Adp of the SNF Oct 1, 2024

Owners & managing parties with NPI records 12

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

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": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1164416905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 NORTH ST",
            "city": "BROOKLYN",
            "state": "IA",
            "postal_code": "522119444",
            "telephone_number": "641-522-9263",
            "fax_number": "641-764-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 NORTH ST",
            "city": "BROOKLYN",
            "state": "IA",
            "postal_code": "522119444",
            "telephone_number": "641-522-9263",
            "fax_number": "641-764-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN COMMUNITY ESTATE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "SISSEL",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "641-522-9263",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "790412",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "790412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooklyn Community Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, IA

Sources for this page

Verify at the official NPI Registry.