NPIMap

Organization Active NPI

Bedrock HCS at Glendale LLC

  • Skilled Nursing Facility
  • Glendale, WI
National Provider Identifier
1205487345
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEDROCK HCS AT GLENDALE LLC
Practice address
1300 W Silver Spring Dr
Glendale, WI 53209-4415
Phone
(414) 228-8120
NPI assigned
Sep 20, 2019
Last updated
Sep 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 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

1300 W Silver Spring Dr
Glendale, WI 53209-4415

Mailing address

Workspaces at Bitbean C/O Esther Tillim
1776 Ave of the States Suite 302
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
O20191114003132 WI Part A Provider - Skilled Nursing Facility 6901238823 Practice locations: Glendale, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205487345. Details of each certification follow.

Skilled nursing facility certification: CCN 525371

Legal name
BEDROCK HCS AT GLENDALE LLC
Doing business as
SILVER SPRINGS HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1984
Last certification
Jun 20, 2024
Beds
112
Ownership / control type
Limited Liability Corporation
Multi-facility organization
AMALFI HEALTHCARE
Most recent change of ownership
Dec 18, 2025
Organization structure
LLCProprietary
Incorporated
Jun 28, 2019 in WI
Enrollment address
1300 W Silver Spring Dr
Glendale, WI 53209-4415
Nursing home name
BAYSHORE NURSING & REHAB
Affiliated entity
BEDROCK HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bayshore Nursing & RehabCCN 525371 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11279.5 residents per day on average
Chain
Bedrock Healthcare9 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $0

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
52D0390371Bedrock HCS at Glendale LLC1300 W Silver Spring Dr, Glendale, WI 53209Certificate of waiverJun 14, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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 18%
Bedrock HC Wi LLC Organization, Lakewood, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
Lynn Chopp Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 17%
Avrohom Prager Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 12.5%
Opal Healthcare NJ LLC Organization, Lakewood, NJ LLC Operational/Managerial Control Oct 1, 2019 100%
Solomon Chopp Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 10%
Shulamit Prager Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 12.5%
Pnina Chopp Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 18%
Sarah Chopp Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 5%
Rachel Chopp Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 7%
Kenneth D Nichols Individual Contracted Managing Employee Oct 1, 2019 100%
Corporate OfficerCoo Oct 1, 2019 100%
Operational/Managerial Control Oct 1, 2019 100%

Facilities with the same owner 6

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

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1205487345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WORKSPACES AT BITBEAN C/O ESTHER TILLIM",
            "address_2": "1776 AVE OF THE STATES SUITE 302",
            "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": "1300 W SILVER SPRING DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094415",
            "telephone_number": "414-228-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDROCK HCS AT GLENDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "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 Glendale, WI

Sources for this page

Verify at the official NPI Registry.