Complete Care at Middlebury LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COMPLETE CARE AT MIDDLEBURY LLC

Practice address

778 Middlebury Rd
Middlebury, CT 06762-2401

Phone

(203) 758-2471

NPI assigned

Jul 13, 2023

Last updated

May 1, 2026By the provider in NPPES

Organization subpart

No

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

(203) 758-2471

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497434807. Details of each certification follow.

• CCN 075146 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 075146

Legal name

COMPLETE CARE AT MIDDLEBURY LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Sep 25, 2023

Beds

58

Ownership / control type

Corporation

Multi-facility organization

Complete Care

Organization structure

LLCProprietary

Enrollment address

778 Middlebury Rd
Middlebury, CT 06762-2401

Nursing home name

COMPLETE CARE AT MIDDLEBURY

Affiliated entity

COMPLETE CARE

Listed as

Complete Care at MiddleburyCCN 075146 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5853.9 residents per day on average

Chain

Complete Care85 facilities in the chain

Penalties (3 years)

1Fines totaling $12,735

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 17

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

Owners & managing parties with NPI records 1

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

• Adedayo Adetola, M.D.

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1861498685

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 66

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

• Complete Care at Fox Hill LLC

  • Skilled Nursing Facility
  • Vernon, CT
  • NPI 1922725043

  SMS 2021 Trust

  CMS ownership
• Complete Care at Glendale LLC

  • Skilled Nursing Facility
  • Naugatuck, CT
  • NPI 1669149738

  SMS 2021 Trust

  CMS ownership
• Complete Care at Groton Regency LLC

  • Skilled Nursing Facility
  • Groton, CT
  • NPI 1124795190

  SMS 2021 Trust

  CMS ownership
• Complete Care at Harrington Court LLC

  • Skilled Nursing Facility
  • Colchester, CT
  • NPI 1720755796

  SMS 2021 Trust

  CMS ownership
• Complete Care at Kimberly Hall North LLC

  • Skilled Nursing Facility
  • Windsor, CT
  • NPI 1821715947

  SMS 2021 Trust

  CMS ownership
• Complete Care at Kimberly Hall South LLC

  • Skilled Nursing Facility
  • Windsor, CT
  • NPI 1801513924

  SMS 2021 Trust

  CMS ownership
• Complete Care at Meriden LLC

  • Skilled Nursing Facility
  • Meriden, CT
  • NPI 1891462867

  SMS 2021 Trust

  CMS ownership
• Beacon Care and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1871163030

  SMS 2021 Trust

  CMS ownership
• Care Age of Brookfield Care and Rehab Center LLC

  dba Complete Care at Care Age

  • Skilled Nursing Facility
  • Brookfield, WI
  • NPI 1437953692

  Peace Capital Holdings II LLC, SMS 2021 Trust

  CMS ownership
• Christian Home Care and Rehab Center LLC

  • Skilled Nursing Facility
  • Waupun, WI
  • NPI 1740010834

  Peace Capital Holdings II LLC, SMS 2021 Trust

  CMS ownership
• Complete Care at Annapolis LLC

  • Skilled Nursing Facility
  • Annapolis, MD
  • NPI 1780399667

  SMS 2021 Trust

  CMS ownership
• Complete Care at Barn Hill LLC

  • Skilled Nursing Facility
  • Newton, NJ
  • NPI 1568056018

  SMS 2021 Trust

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Adedayo Adetola, M.D.

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1861498685

  Nursing home

  Care Compare affiliation
• Joseph P Deluca, M.D.

  • Internal Medicine Physician
  • Middlebury, CT
  • NPI 1629090071

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1497434807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 MIDDLEBURY RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 MIDDLEBURY RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622401",
            "telephone_number": "203-758-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT MIDDLEBURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "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": "203-758-2471"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "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": []
}

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• Skilled Nursing Facility in Middlebury, CT
• Providers in Middlebury, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.

Verify at the official NPI Registry.