Organization Active NPI

Complete Care at Brackenville LLC

  • Skilled Nursing Facility
  • Hockessin, DE
National Provider Identifier
1407437130
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COMPLETE CARE AT BRACKENVILLE LLC
Practice address
100 Saint Claire Dr
Hockessin, DE 19707-8906
Phone
(302) 234-5420
NPI assigned
Apr 15, 2021
Last updated
May 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Shalom Stein
Title
Authorized Signer
Phone
(732) 313-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

100 Saint Claire Dr
Hockessin, DE 19707-8906

Mailing address

100 Saint Claire Dr
Hockessin, DE 19707-8906
Phone (302) 234-5420

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211229000717 DE Part A Provider - Skilled Nursing Facility 4183028343 Practice locations: Hockessin, DE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407437130. Details of each certification follow.

Skilled nursing facility certification: CCN 085042

Legal name
COMPLETE CARE AT BRACKENVILLE LLC
Doing business as
COMPLETE CARE AT BRACKENVILLE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1993
Last certification
Feb 14, 2025
Beds
104
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Complete Care Management
Most recent change of ownership
Jun 1, 2021
Organization structure
LLCProprietary
Enrollment address
100 Saint Claire Dr
Hockessin, DE 19707-8906
Nursing home name
COMPLETE CARE AT BRACKENVILLE LLC
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at Brackenville LLCCCN 085042 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10499.1 residents per day on average
Chain
Complete Care85 facilities in the chain
Penalties (3 years)
1Fines totaling $16,801

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Ritu Rastogi Individual Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
Rebecca J Difilipo Individual Operational/Managerial Control Jan 30, 2022
Adp of the SNF Jan 30, 2022
Nisanel Yaakov Silverberg Individual Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
Peace Capital Holdings LLC Organization, Howell, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2021 100%
Adp of the SNF Jun 1, 2021
Aurora Guardian II Realty, LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jun 1, 2021
Ronald Inglis Individual Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
Aurora Guardian Partners II LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jun 1, 2021
Brackenville Center Realty Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jun 1, 2021
M Friedman 2018 Family Trust Organization, Brooklyn, NY LLC, Holding company, For-profit Adp of the SNF Jun 1, 2021
Melissa Mansfield Individual Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
PC Wta Multi-State LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Jun 1, 2021
PC Wta Acquisition LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Jun 1, 2021
J & R Family Investments, LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jun 1, 2021
SMS 2021 Trust Organization, Lakewood, NJ For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2021 95.1%
Adp of the SNF Jun 1, 2021
Aurora Guardian Holdco II Co-Borrower, LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jun 1, 2021
R&J Family Investments LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jun 1, 2021
Vickie L Cox Individual Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
PC Wta Opco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2021 100%
PC de Opcos LLC Organization, Howell, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2021 100%
Aurora Guardian Holdco II Mezz Borrower, LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jun 1, 2021
Landau Family Investment Trust Organization, New York, NY For-profit Adp of the SNF Jun 1, 2021
Aurora Guardian Holdco II, LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jun 1, 2021
Welltower Inc Organization, Toledo, OH Corporation, Real estate investment trust (REIT) 5% Or Greater Security Interest Jun 1, 2021 34%
Adp of the SNF Jun 1, 2021
Shalom Stein Individual Corporate Officer Jun 1, 2021
Managing Control - Governing Body Jun 1, 2021
Trustee of the SNF Jun 1, 2021
Indirect Ownership Interest Jun 1, 2021 4.9%
L Friedman Family Holdings LLC Organization, Brooklyn, NY LLC, Holding company, For-profit Adp of the SNF Jun 1, 2021
L Friedman 2018 Family Trust Organization, Brooklyn, NY For-profit Adp of the SNF Jun 1, 2021

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 66

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

View all 66

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.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1407437130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SAINT CLAIRE DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078906",
            "telephone_number": "302-234-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAINT CLAIRE DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078906",
            "telephone_number": "302-234-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT BRACKENVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "732-313-0880"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hockessin, DE

Sources for this page

Verify at the official NPI Registry.