NPIMap

Organization Active NPI

Complete Care at Park Place LLC

  • Skilled Nursing Facility
  • Monmouth Junction, NJ
National Provider Identifier
1205417136
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 PARK PLACE LLC
Practice address
2 Deerpark Dr
Monmouth Junction, NJ 08852-1919
Phone
(732) 274-1122
NPI assigned
Apr 21, 2021
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
Authorized Signer
Phone
(732) 274-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2 Deerpark Dr
Monmouth Junction, NJ 08852-1919

Mailing address

2 Deerpark Dr
Monmouth Junction, NJ 08852-1919
Phone (732) 274-1122

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
O20210728003326 NJ Part A Provider - Skilled Nursing Facility 6305249301 Practice locations: Monmouth Junction, NJ

Skilled nursing facility certification: CCN 315362

Legal name
COMPLETE CARE AT PARK PLACE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 30, 1997
Last certification
Aug 30, 2024
Beds
94
Ownership / control type
Corporation
Multi-facility organization
Complete Care
Organization structure
LLCProprietary
Incorporated
Jan 20, 2021 in DE
Enrollment address
2 Deerpark Dr
Monmouth Junction, NJ 08852-1919
Nursing home name
COMPLETE CARE AT PARK PLACE LLC
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at Park Place LLCCCN 315362
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 30, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9489.1 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

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.

NameRoleSinceShare
Peace Capital Holdings LLC Organization, Howell, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2021 100%
Adp of the SNF Jul 1, 2021
Aurora Guardian II Realty, LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jul 30, 2021
Robert Platzman Individual Operational/Managerial Control Feb 1, 2022
Adp of the SNF Feb 1, 2022
Wanda Mercado Individual Operational/Managerial Control Oct 19, 2022
Yosef Edeltuch Individual Operational/Managerial Control Aug 2, 2023
Adp of the SNF Aug 2, 2023
Aurora Guardian Partners II LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jul 30, 2021
Zacqueisha Smith Individual Adp of the SNF Aug 2, 2023
M Friedman 2018 Family Trust Organization, Brooklyn, NY For-profit Adp of the SNF Jul 30, 2021
Baljinder Grewal Individual Operational/Managerial Control Jul 1, 2021
Adp of the SNF Jul 1, 2021
PC Wta Multi-State LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Jul 1, 2021
PC Wta Acquisition LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Jul 1, 2021
J & R Family Investments, LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jul 30, 2021
SMS 2021 Trust Organization, Lakewood, NJ For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2021 95.01%
Adp of the SNF Jul 1, 2021
Aurora Guardian Holdco II Co-Borrower, LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jul 30, 2021
R&J Family Investments LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jul 30, 2021
PC Wta Opco Holdco LLC Organization, Howell, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2021 100%
Aurora Guardian Holdco II Mezz Borrower, LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jul 30, 2021
Landau Family Investment Trust Organization, New York, NY For-profit Adp of the SNF Jul 30, 2021
Park Place Realty, LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jul 1, 2021
Yitzchok Meir Levovitz Individual Operational/Managerial Control Jul 1, 2021
Aurora Guardian Holdco II, LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Jul 30, 2021
Welltower Inc Organization, Toledo, OH Corporation, Real estate investment trust (REIT) 5% Or Greater Security Interest Jul 30, 2021 34%
Adp of the SNF Jul 1, 2021
PC NJ1 Opcos LLC Organization, Howell, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2021 100%
Shalom Stein Individual Corporate Officer Jul 1, 2021
Managing Control - Governing Body Jul 1, 2021
Trustee of the SNF Jul 1, 2021
Indirect Ownership Interest Jul 1, 2021 4.9%
L Friedman Family Holdings LLC Organization, Brooklyn, NY LLC, Holding company, For-profit Adp of the SNF Jul 1, 2021
L Friedman 2018 Family Trust Organization, Brooklyn, NY For-profit Adp of the SNF Jul 1, 2021

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1205417136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEERPARK DR",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521919",
            "telephone_number": "732-274-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEERPARK DR",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521919",
            "telephone_number": "732-274-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT PARK PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "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": "732-274-1122"
    },
    "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 Monmouth Junction, NJ

Sources for this page

Verify at the official NPI Registry.