Active NPI
Complete Care at Dawnview LLC
- Skilled Nursing Facility
- Fort Ashby, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- COMPLETE CARE AT DAWNVIEW LLC
- Practice address
- 1 Diane Dr
Fort Ashby, WV 26719 - Phone
- (304) 298-3602
- NPI assigned
- May 10, 2021
- 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
- Shalom Stein
- Title
- Authorized Signer
- Phone
- (732) 313-0880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1 Diane Dr
Fort Ashby, WV 26719
Mailing address
1 Diane Dr
Fort Ashby, WV 26719
Phone (304) 298-3602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211103002744 | WV | Part A Provider - Skilled Nursing Facility | 1850794504 | Practice locations: Fort Ashby, WV |
Skilled nursing facility certification: CCN 515163
- Legal name
- COMPLETE CARE AT DAWNVIEW LLC
- Doing business as
- COMPLETE CARE AT DAWNVIEW LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 15, 1998
- Last certification
- Nov 6, 2024
- Beds
- 66
- Ownership / control type
- Individual
- Multi-facility organization
- Complete Care Management
- Organization structure
- LLC
- Incorporated
- Mar 10, 2021 in DE
- Enrollment address
- 1 Diane Dr
Fort Ashby, WV 26719 - Nursing home name
- COMPLETE CARE AT DAWNVIEW LLC
- Affiliated entity
- COMPLETE CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Complete Care at Dawnview LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jun 15, 1998
- Medicare certification status
- Active
- Certified beds
- 66
- Chain
- Complete Care
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Complete Care at Dawnview
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Fort Ashby, WV
- NPI 1760057012
Locations
1 Diane Dr
Fort Ashby, WV 26719
Phone (304) 298-3602
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nisanel Yaakov Silverberg | Operational/Managerial Control | Jun 1, 2021 | |
| Peace Capital Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2021 | 100% |
| Adp of the SNF | Jun 1, 2021 | ||
| Aurora Guardian II Realty, LLC | Adp of the SNF | Jul 30, 2021 | |
| Aurora Guardian Partners II LLC | Adp of the SNF | Jul 30, 2021 | |
| PC WV Opcos LLC | 5% Or Greater Direct Ownership Interest | Jun 1, 2021 | 100% |
| Anthony a Saweikis | Operational/Managerial Control | Apr 1, 2024 | |
| Adp of the SNF | Apr 1, 2024 | ||
| M Friedman 2018 Family Trust | Adp of the SNF | Jul 30, 2021 | |
| Melissa Mansfield | Operational/Managerial Control | Jun 1, 2021 | |
| Adp of the SNF | Jun 1, 2021 | ||
| PC Wta Multi-State LLC | Adp of the SNF | Jun 1, 2021 | |
| Mary Katherine Crawford | Adp of the SNF | Feb 24, 2025 | |
| PC Wta Acquisition LLC | Adp of the SNF | Jun 1, 2021 | |
| J & R Family Investments, LLC | Adp of the SNF | Jul 30, 2021 | |
| SMS 2021 Trust | 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 | Adp of the SNF | Jul 30, 2021 | |
| R&J Family Investments LLC | Adp of the SNF | Jul 30, 2021 | |
| Vickie L Cox | Operational/Managerial Control | Jun 1, 2021 | |
| PC Wta Opco Holdco LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2021 | 100% |
| Aurora Guardian Holdco II Mezz Borrower, LLC | Adp of the SNF | Jul 30, 2021 | |
| Landau Family Investment Trust | Adp of the SNF | Jul 30, 2021 | |
| Aurora Guardian Holdco II, LLC | Adp of the SNF | Jul 30, 2021 | |
| Welltower Inc | 5% Or Greater Security Interest | Jul 30, 2021 | 34% |
| Adp of the SNF | Jul 30, 2021 | ||
| Dawnview Center Realty, LLC | Adp of the SNF | Jul 30, 2021 | |
| Shalom Stein | 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% | |
| Stephanie J Shoemaker | Operational/Managerial Control | Jun 7, 2021 | |
| Adp of the SNF | Jun 7, 2021 | ||
| L Friedman Family Holdings LLC | Adp of the SNF | Jul 30, 2021 | |
| L Friedman 2018 Family Trust | Adp of the SNF | Jul 30, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Keyser, WV
- NPI 1407858335
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 66
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Charleston, WV
- NPI 1265012066
PC Wta Opco Holdco LLC, PC WV Opcos LLC, Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1871163030
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Brookfield, WI
- NPI 1437953692
SMS 2021 Trust
-
- Skilled Nursing Facility
- Waupun, WI
- NPI 1740010834
SMS 2021 Trust
-
- Skilled Nursing Facility
- Annapolis, MD
- NPI 1780399667
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Newton, NJ
- NPI 1568056018
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Holmdel, NJ
- NPI 1346964715
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Reading, PA
- NPI 1497336119
PC Wta Opco Holdco LLC, Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Hockessin, DE
- NPI 1407437130
PC Wta Opco Holdco LLC, Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Phillipsburg, NJ
- NPI 1902487820
PC Wta Opco Holdco LLC, Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Brick, NJ
- NPI 1053035329
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Burlington, NJ
- NPI 1790366615
PC Wta Opco Holdco LLC, Peace Capital Holdings LLC, SMS 2021 Trust
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Fort Ashby, WV
- NPI 1760818926
-
- Procedural Dermatology Physician
- Romney, WV
- NPI 1831181304
-
- Physical Therapy Assistant
- Fort Ashby, WV
- NPI 1003940297
-
- Family Medicine Physician
- Keyser, WV
- NPI 1407858335
-
- Family Nurse Practitioner
- Downsville, NY
- NPI 1114550415
Affiliated clinicians 2
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": "1620604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620604800000",
"number": "1801470463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DIANE DR",
"city": "FORT ASHBY",
"state": "WV",
"postal_code": "26719",
"telephone_number": "304-298-3602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DIANE DR",
"city": "FORT ASHBY",
"state": "WV",
"postal_code": "26719",
"telephone_number": "304-298-3602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE CARE AT DAWNVIEW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-10",
"last_updated": "2021-05-10",
"certification_date": "2021-04-14",
"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": [],
"other_names": []
}
Other providers in Fort Ashby, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.