Active NPI
Bradley Estates Nursing and Rehab LLC
Doing business as Bradley Estates Nursing and Rehab
- Skilled Nursing Facility
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BRADLEY ESTATES NURSING AND REHAB LLC
- Doing business as
- Bradley Estates Nursing and Rehab
- Practice address
- 6735 W Bradley Rd
Milwaukee, WI 53223-3325 - Phone
- (414) 354-3300
- NPI assigned
- Oct 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Jeidel
- Title
- Manager
- Phone
- (917) 750-5089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
6735 W Bradley Rd
Milwaukee, WI 53223-3325
Mailing address
20876 Sonrisa Way
Boca Raton, FL 33433-1745
Other names 1
- Bradley Estates Nursing and Rehab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230113000326 | WI | Part A Provider - Skilled Nursing Facility | 2668843467 | Practice locations: Milwaukee, WI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1255048401. Details of each certification follow.
Skilled nursing facility certification: CCN 525325
- Legal name
- BRADLEY ESTATES NURSING AND REHAB LLC
- Doing business as
- BRADLEY ESTATES NURSING AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1983
- Last certification
- Jul 1, 2024
- Beds
- 198
- Ownership / control type
- Corporation
- Multi-facility organization
- EOM
- Organization structure
- LLC
- Incorporated
- Oct 20, 2022 in WI
- Enrollment address
- 6735 W Bradley Rd
Milwaukee, WI 53223-3325 - Nursing home name
- BRADLEY ESTATES NURSING AND REHAB LLC
- Affiliated entity
- SHLOMO HOFFMAN
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bradley Estates Nursing and Rehab LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1983
- Medicare certification status
- Active
- Certified beds
- 198
- Chain
- Shlomo Hoffman
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 7
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0393256 | Bradley Estates Nursing and Rehab | Certificate of waiver | Nov 12, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Steve J Klekamp | W-2 Managing Employee | Jan 1, 2023 | |
| Benjamin Shkop | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 20% |
| Jacob Jeidel | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 60% |
| Corporate Officer | Jan 1, 2023 | ||
| Shlomo D Hoffman | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 20% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1666828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666828800000",
"number": "1255048401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20876 SONRISA WAY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334331745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6735 W BRADLEY RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532233325",
"telephone_number": "414-354-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRADLEY ESTATES NURSING AND REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-27",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A",
"authorized_official_last_name": "JEIDEL",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "917-750-5089"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bradley Estates Nursing and Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.