NPIMap

Organization Active NPI

St Clare Care and Rehab Center LLC

  • Skilled Nursing Facility
  • Baraboo, WI
National Provider Identifier
1215767306
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ST CLARE CARE AND REHAB CENTER LLC
Practice address
1414 Jefferson St
Baraboo, WI 53913-1503
Phone
(608) 356-4838
NPI assigned
Aug 5, 2024
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 Official
Phone
(732) 313-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1414 Jefferson St
Baraboo, WI 53913-1503

Mailing address

1414 Jefferson St
Baraboo, WI 53913-1503
Phone (608) 356-4838

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 WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250414001329 WI Part A Provider - Skilled Nursing Facility 2567986391 Practice locations: Baraboo, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215767306. Details of each certification follow.

Skilled nursing facility certification: CCN 525317

Legal name
ST CLARE CARE AND REHAB CENTER LLC
Doing business as
ST CLARE CARE AND REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1982
Last certification
May 13, 2025
Beds
102
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Complete Care Management
Most recent change of ownership
Feb 28, 2025
Organization structure
LLCProprietary
Enrollment address
1414 Jefferson St
Baraboo, WI 53913-1503
Nursing home name
COMPLETE CARE AT JEFFERSON MEADOWS LLC
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at Jefferson Meadows LLCCCN 525317 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 1, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10249.5 residents per day on average
Chain
Complete Care85 facilities in the chain
Penalties (3 years)
2Fines totaling $54,326

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0393978St Clare Care and Rehab1414 Jefferson St, Baraboo, WI 53913Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
PC WCM Topco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 28, 2025 90.2%
Adp of the SNF Feb 28, 2025
Emily Ann Greenwood Individual Operational/Managerial Control Feb 28, 2025
Adp of the SNF Feb 28, 2025
PC WCM Propco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 28, 2025
Julie M Pendleton Individual Operational/Managerial Control Feb 28, 2025
Adp of the SNF Feb 28, 2025
Daniel Sternbuch Individual Operational/Managerial Control Feb 28, 2025
Adp of the SNF Feb 28, 2025
Jacob Klugman Individual Adp of the SNF Feb 28, 2025
Indirect Ownership Interest Feb 28, 2025 4.9%
Luanne Leverentz Individual Adp of the SNF Feb 28, 2025
Thomas Flygt Individual Operational/Managerial Control Feb 28, 2025
Adp of the SNF Feb 28, 2025
SMS 2021 Trust Organization, Lakewood, NJ Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 28, 2025 85.78%
Adp of the SNF Feb 28, 2025
Yosef Hellman Individual Operational/Managerial Control Feb 28, 2025
Managing Control - Governing Body Feb 28, 2025
PC WCM 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 28, 2025 100%
Des Capital LLC Organization, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Feb 28, 2025
St. Clare Propco LLC Organization, Toms River, NJ LLC, For-profit Adp of the SNF Feb 28, 2025
JRK Investments LLC Organization, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Feb 28, 2025
Peace Capital Holdings II LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 28, 2025 90.2%
Adp of the SNF Feb 28, 2025
Shalom Stein Individual Corporate OfficerPartner Feb 28, 2025
Managing Control - Governing Body Feb 28, 2025
Trustee of the SNF Feb 28, 2025
Adp of the SNF Feb 28, 2025
Indirect Ownership Interest Feb 28, 2025 4.42%

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

Affiliated clinicians 6

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": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1215767306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 JEFFERSON ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131503",
            "telephone_number": "608-356-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 JEFFERSON ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131503",
            "telephone_number": "608-356-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLARE CARE AND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "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 OFFICIAL",
        "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 Baraboo, WI

Sources for this page

Verify at the official NPI Registry.