Organization Active NPI

Complete Care at Springbrook LLC

  • Skilled Nursing Facility
  • Silver Spring, MD
National Provider Identifier
1619682507
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 SPRINGBROOK LLC
Practice address
12325 New Hampshire Ave
Silver Spring, MD 20904-2957
Phone
(301) 622-4600
NPI assigned
Jan 16, 2023
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
Ceo
Phone
(732) 313-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

12325 New Hampshire Ave
Silver Spring, MD 20904-2957

Mailing address

12325 New Hampshire Ave
Silver Spring, MD 20904-2957

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 MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230426001623 MD Part A Provider - Skilled Nursing Facility 3274998265 Practice locations: Silver Spring, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619682507. Details of each certification follow.

Skilled nursing facility certification: CCN 215052

Legal name
COMPLETE CARE AT SPRINGBROOK LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1976
Last certification
Sep 16, 2020
Beds
99 (93 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Complete Care Management
Organization structure
LLCProprietary
Enrollment address
12325 New Hampshire Avenue
Silver Spring, MD 20904-2957
Nursing home name
COMPLETE CARE AT SPRINGBROOK
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at SpringbrookCCN 215052 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9382.6 residents per day on average
Chain
Complete Care85 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Complete Care at Springbrook2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Nisanel Yaakov Silverberg Individual Operational/Managerial Control Feb 1, 2023
Peace Capital Holdings LLC Organization, Howell, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 90.2%
Adp of the SNF Feb 1, 2023
Oludapo Raphael Eludoyin Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Mitul Dave Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Daniel Sternbuch Individual Operational/Managerial Control Feb 1, 2023
Indirect Ownership Interest Feb 1, 2023 4.9%
Adesse MD Peace MD5 Propco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
Melissa Mansfield Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Silver Spring Two MD Propco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
Adesse MD5 Propco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
Jacob Klugman Individual Indirect Ownership Interest Feb 1, 2023 4.9%
PC MD5 Topco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 90.2%
Adp of the SNF Feb 1, 2023
SMS 2021 Trust Organization, Lakewood, NJ For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 85.78%
Adp of the SNF Feb 1, 2023
Adesse Holdings LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
HC Family Trust Organization, Toms River, NJ For-profit Adp of the SNF Feb 1, 2023
Vickie L Cox Individual Operational/Managerial Control Feb 1, 2023
PC MD5 Opco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2023 100%
Akiva Schonfeld Individual Trustee of the SNF Feb 1, 2021
Adp of the SNF Feb 1, 2023
Des Capital LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Feb 1, 2023 4.9%
Mojirayo Salami Individual Adp of the SNF Feb 1, 2023
MD 4 Propco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
JRK Investments LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Feb 1, 2023 4.9%
Shalom Stein Individual Corporate Officer Feb 1, 2023
Managing Control - Governing Body Feb 1, 2023
Trustee of the SNF Feb 1, 2023
Indirect Ownership Interest Feb 1, 2023 4.41%

Owners & managing parties with NPI records 2

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 2

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.

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": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1619682507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12325 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12325 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042957",
            "telephone_number": "301-622-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT SPRINGBROOK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "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": "CEO",
        "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 Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.