Complete Care at Kimberly Hall North LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COMPLETE CARE AT KIMBERLY HALL NORTH LLC

Practice address

1 Emerson Dr
Windsor, CT 06095-3204

Phone

(860) 688-6443

NPI assigned

Oct 20, 2022

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

Ceo

Phone

(732) 313-0880

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 1821715947. Details of each certification follow.

• CCN 075279 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 075279

Legal name

COMPLETE CARE AT KIMBERLY HALL NORTH LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 11, 1977

Last certification

Sep 19, 2024

Beds

150

Ownership / control type

Limited Liability Corporation

Multi-facility organization

COMPLETE CARE

Most recent change of ownership

Nov 15, 2022

Organization structure

LLCProprietary

Enrollment address

1 Emerson Dr
Windsor, CT 06095-3204

Nursing home name

COMPLETE CARE AT KIMBERLY HALL NORTH

Affiliated entity

COMPLETE CARE

Listed as

Complete Care at Kimberly Hall NorthCCN 075279 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 11, 1977

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

150142.8 residents per day on average

Chain

Complete Care85 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

1Fines totaling $13,065

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 19

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.

• James Paul Gallagher, MD

  • Internal Medicine Physician
  • Agawam, MA
  • NPI 1801817325

  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

  PC Gen CT Opco Holdco LLC, PC Gen CT Opco Topco LLC, PC Gen CT Topco LLC, Peace Capital Holdings LLC, SMS 2021 Trust

  CMS ownership
• Complete Care at Glendale LLC

  • Skilled Nursing Facility
  • Naugatuck, CT
  • NPI 1669149738

  Peace Capital Holdings LLC, SMS 2021 Trust

  CMS ownership
• Complete Care at Groton Regency LLC

  • Skilled Nursing Facility
  • Groton, CT
  • NPI 1124795190

  Peace Capital Holdings LLC, SMS 2021 Trust

  CMS ownership
• Complete Care at Harrington Court LLC

  • Skilled Nursing Facility
  • Colchester, CT
  • NPI 1720755796

  Peace Capital Holdings LLC, SMS 2021 Trust

  CMS ownership
• Complete Care at Kimberly Hall South LLC

  • Skilled Nursing Facility
  • Windsor, CT
  • NPI 1801513924

  PC Gen CT Opco Holdco LLC, PC Gen CT Opco Topco LLC, PC Gen CT Topco LLC, Peace Capital Holdings LLC, SMS 2021 Trust

  CMS ownership
• Complete Care at Meriden LLC

  • Skilled Nursing Facility
  • Meriden, CT
  • NPI 1891462867

  Peace Capital Holdings LLC, SMS 2021 Trust

  CMS ownership
• Complete Care at Middlebury LLC

  • Skilled Nursing Facility
  • Middlebury, CT
  • NPI 1497434807

  SMS 2021 Trust

  CMS ownership
• Beacon Care and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1871163030

  Peace Capital Holdings LLC, 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

  SMS 2021 Trust

  CMS ownership
• Christian Home Care and Rehab Center LLC

  • Skilled Nursing Facility
  • Waupun, WI
  • NPI 1740010834

  SMS 2021 Trust

  CMS ownership
• Complete Care at Annapolis LLC

  • Skilled Nursing Facility
  • Annapolis, MD
  • NPI 1780399667

  Peace Capital Holdings LLC, SMS 2021 Trust

  CMS ownership
• Complete Care at Barn Hill LLC

  • Skilled Nursing Facility
  • Newton, NJ
  • NPI 1568056018

  Peace Capital Holdings LLC, SMS 2021 Trust

  CMS ownership

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1821715947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMERSON DR",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EMERSON DR",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953204",
            "telephone_number": "860-688-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT KIMBERLY HALL NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "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": []
}

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• Community Solutions, Inc.
• Compassionate Caregivers LLC
• Complete Care at Kimberly Hall South LLC
• Comprehensive Geriatric Dental Care LLC
• Carol Ann Concannon, N.P.
• Concentra Health Services, Inc. (Concentra Medical Center)
• Connal Physical Therapy Group LLC

• Skilled Nursing Facility in Windsor, CT
• Providers in Windsor, 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.