NPIMap

Organization Active NPI

Summit Ridge Care LLC

  • Skilled Nursing Facility
  • West Orange, NJ
National Provider Identifier
1306318639
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SUMMIT RIDGE CARE LLC
Practice address
20 Summit St
West Orange, NJ 07052-1501
Phone
(973) 736-2000
NPI assigned
Dec 27, 2018
Last updated
May 1, 2026By the provider in NPPES
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 Rep
Phone
(732) 313-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

20 Summit St
West Orange, NJ 07052-1501

Mailing address

20 Summit St
West Orange, NJ 07052-1501

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
O20190206002124 NJ Part A Provider - Skilled Nursing Facility 8224376843 Practice locations: West Orange, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306318639. Details of each certification follow.

Skilled nursing facility certification: CCN 315038

Legal name
SUMMIT RIDGE CARE LLC
Doing business as
COMPLETE CARE AT SUMMIT RIDGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1973
Last certification
May 27, 2025
Beds
152
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Complete Care
Most recent change of ownership
Apr 1, 2011
Organization structure
LLCProprietary
Incorporated
Sep 25, 2018 in NJ
Enrollment address
20 Summit St
West Orange, NJ 07052-1501
Nursing home name
COMPLETE CARE AT SUMMIT RIDGE
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at Summit RidgeCCN 315038 · All quality measures
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 - Limited Liability company
Certified
Jul 1, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
152145.6 residents per day on average
Chain
Complete Care85 facilities in the chain

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
31D2200589Complete Care at Summit Ridge20 Summit St, West Orange, NJ 07052Certificate of waiverNov 15, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Nachum Schlaff Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2019 22.5%
Adp of the SNF Feb 1, 2019
Summit Care Reality LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2019
Wanda Mercado Individual Operational/Managerial Control Oct 19, 2022
Malka Weissman Individual Indirect Ownership Interest Feb 1, 2019 1%
Baljinder Grewal Individual Operational/Managerial Control Apr 6, 2020
Adp of the SNF Apr 6, 2020
Peace Capital LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2019
Kanene Oleka Individual Operational/Managerial Control Mar 28, 2022
Adp of the SNF Mar 28, 2022
Rony Ulysse Individual Adp of the SNF Apr 29, 2024
Eef Capital LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2019 45%
Adp of the SNF Feb 1, 2019
James V Agresti Individual Operational/Managerial Control Jun 5, 2023
Adp of the SNF Jun 5, 2023
Yitzchok Meir Levovitz Individual Operational/Managerial Control Mar 1, 2019
Benny Schlaff Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2019 22.5%
Adp of the SNF Feb 1, 2019
Shalom Stein Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2019 54%
Managing Control - Governing Body Feb 1, 2019
Adp of the SNF Feb 1, 2019

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 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 16

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

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": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1306318639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUMMIT ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SUMMIT ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521501",
            "telephone_number": "973-736-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT RIDGE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "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 REP",
        "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 West Orange, NJ

Sources for this page

Verify at the official NPI Registry.