Active NPI
Complete Care at Villa Pines LLC
- Skilled Nursing Facility
- Friendship, WI
National Provider Identifier
1235627902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- COMPLETE CARE AT VILLA PINES LLC
- Practice address
- 201 S Park Ave
Friendship, WI 53934-9377 - Phone
- (608) 339-3361
- NPI assigned
- Apr 27, 2018
- 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
- Owner
- Phone
- (732) 313-0880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
201 S Park Ave
Friendship, WI 53934-9377
Mailing address
201 S Park Ave
Friendship, WI 53934-9377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180626000529 | WI | Part A Provider - Skilled Nursing Facility | 9032464441 | Practice locations: Friendship, WI |
Skilled nursing facility certification: CCN 525351
- Legal name
- COMPLETE CARE AT VILLA PINES LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1984
- Last certification
- Feb 27, 2025
- Beds
- 50
- Ownership / control type
- Individual
- Multi-facility organization
- Aria
- Organization structure
- LLC
- Incorporated
- Mar 22, 2018 in DE
- Enrollment address
- 201 S Park Ave
Friendship, WI 53934-9377 - Nursing home name
- ARIA AT VILLA PINES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Aria at Villa Pines
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Mar 1, 1984
- Medicare certification status
- Active
- Certified beds
- 50
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| Nachum Schlaff | 5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 50% |
| Nisanel Yaakov Silverberg | 5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 16.67% |
| W-2 Managing Employee | Jun 1, 2018 | ||
| Yosef Hellman | 5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 16.67% |
| Eef Capital LLC | 5% Or Greater Direct Ownership Interest | Jun 1, 2018 | 40% |
| Benny Schlaff | 5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 50% |
| SNJ Wisconsin LLC | 5% Or Greater Direct Ownership Interest | Jun 1, 2018 | 60% |
| Shalom Stein | 5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 66.6% |
Facilities with the same owner 16
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Manitowoc, WI
- NPI 1174011845
Eef Capital LLC, SNJ Wisconsin LLC
-
- Skilled Nursing Facility
- Stoughton, WI
- NPI 1972091643
Eef Capital LLC, SNJ Wisconsin LLC
-
- Skilled Nursing Facility
- Passaic, NJ
- NPI 1306430855
Eef Capital LLC
-
- Skilled Nursing Facility
- East Orange, NJ
- NPI 1023602570
Eef Capital LLC
-
- Skilled Nursing Facility
- Toms River, NJ
- NPI 1649827718
Eef Capital LLC
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1524787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564531200000",
"number": "1235627902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S PARK AVE",
"city": "FRIENDSHIP",
"state": "WI",
"postal_code": "539349377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S PARK AVE",
"city": "FRIENDSHIP",
"state": "WI",
"postal_code": "539349377",
"telephone_number": "608-339-3361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE CARE AT VILLA PINES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-27",
"last_updated": "2019-07-31",
"status": "A",
"authorized_official_last_name": "STEIN",
"authorized_official_first_name": "SHALOM",
"authorized_official_title_or_position": "OWNER",
"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 Friendship, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.