NPIMap

Organization Active NPI

Complete Care at Fox Hill LLC

  • Skilled Nursing Facility
  • Vernon, CT
National Provider Identifier
1922725043
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 FOX HILL LLC
Practice address
1253 Hartford Tpke
Vernon, CT 06066-4560
Phone
(860) 875-0771
NPI assigned
Oct 20, 2022
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

1253 Hartford Tpke
Vernon, CT 06066-4560

Mailing address

1253 Hartford Tpke
Vernon, CT 06066-4560

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 NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230207002240 NJ Part A Provider - Skilled Nursing Facility 1052783719 Practice locations: Vernon, CT

Skilled nursing facility certification: CCN 075183

Legal name
COMPLETE CARE AT FOX HILL LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 20, 1967
Last certification
May 22, 2024
Beds
240 (120 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
COMPLETE CARE
Organization structure
LLCProprietary
Enrollment address
1253 Hartford Tpke
Vernon, CT 06066-4560
Nursing home name
COMPLETE CARE AT FOX HILL
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at Fox HillCCN 075183 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 20, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120109.8 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 17

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

NameRoleSinceShare
Peace Capital Holdings LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 15, 2022 90.2%
Adp of the SNF Nov 15, 2022
PC Gen CT Topco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 15, 2022 90.2%
Adp of the SNF Nov 15, 2022
Daniel Sternbuch Individual Adp of the SNF Nov 15, 2022
Indirect Ownership Interest Nov 15, 2022 4.9%
Fox Hill Propco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Nov 15, 2022
Marnie Tetreault Individual Operational/Managerial Control Nov 15, 2022
Adp of the SNF Nov 15, 2022
Jacob Klugman Individual Adp of the SNF Nov 15, 2022
Indirect Ownership Interest Nov 15, 2022 4.9%
SMS 2021 Trust Organization, Lakewood, NJ For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 15, 2022 85.78%
Adp of the SNF Nov 15, 2022
Donna Cary Individual Adp of the SNF Nov 15, 2022
PC Gen CT Opco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 15, 2022 100%
Kristin Lagana Individual Operational/Managerial Control Nov 15, 2022
Adp of the SNF Nov 15, 2022
Robert J Hoch Individual Operational/Managerial Control Nov 15, 2022
Adp of the SNF Nov 15, 2022
Jeff Hilliard Individual Operational/Managerial Control Nov 15, 2022
Adp of the SNF Nov 15, 2022
Des Capital LLC Organization, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Nov 15, 2022
Indirect Ownership Interest Nov 15, 2022 4.9%
James P Gallagher Individual Operational/Managerial Control Nov 15, 2022
Adp of the SNF Nov 15, 2022
JRK Investments LLC Organization, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Nov 15, 2022
Indirect Ownership Interest Nov 15, 2022 4.9%
Shalom Stein Individual Corporate Officer Nov 15, 2022
Managing Control - Governing Body Nov 15, 2022
Trustee of the SNF Nov 15, 2022
Indirect Ownership Interest Nov 15, 2022
PC Gen CT Opco Topco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 15, 2022 100%

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

NPI Registry JSON

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": "1922725043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664560",
            "telephone_number": "860-875-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT FOX HILL 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": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.