Organization Active NPI

Bradley Estates Nursing and Rehab LLC

Doing business as Bradley Estates Nursing and Rehab

  • Skilled Nursing Facility
  • Milwaukee, WI
National Provider Identifier
1255048401
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Oct 27, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 525325 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
198127.9 residents per day on average
Chain
Shlomo Hoffman10 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
7Fines totaling $305,374

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
52D0393256Bradley Estates Nursing and Rehab6735 W Bradley Rd, Milwaukee, WI 53223Certificate of waiverNov 12, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Steve J Klekamp Individual W-2 Managing EmployeeAdministrator Jan 1, 2023
Benjamin Shkop Individual 5% Or Greater Direct Ownership Interest Jan 1, 2023 20%
Jacob Jeidel Individual 5% Or Greater Direct Ownership Interest Jan 1, 2023 60%
Corporate Officer Jan 1, 2023
Shlomo D Hoffman Individual 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

Verify at the official NPI Registry.