NPIMap

Organization Active NPI

Complete Care at Ridgewood LLC

  • Skilled Nursing Facility
  • Racine, WI
National Provider Identifier
1346763729
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 RIDGEWOOD LLC
Practice address
3205 Wood Rd
Racine, WI 53406-5048
Phone
(262) 554-6440
NPI assigned
Jul 18, 2017
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 Representative
Phone
(732) 313-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

3205 Wood Rd
Racine, WI 53406-5048

Mailing address

3205 Wood Rd
Racine, WI 53406-5048

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
O20170919003580 WI Part A Provider - Skilled Nursing Facility 0042584757 Practice locations: Racine, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346763729. Details of each certification follow.

Skilled nursing facility certification: CCN 525608

Legal name
COMPLETE CARE AT RIDGEWOOD LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1997
Last certification
May 6, 2024
Beds
200
Ownership / control type
Limited Liability Corporation
Multi-facility organization
COMPLETE CARE
Organization structure
LLCProprietary
Enrollment address
3205 Wood Rd
Racine, WI 53406-5048
Nursing home name
COMPLETE CARE AT RIDGEWOOD LLC
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at Ridgewood LLCCCN 525608 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200103.9 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 16

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

NameRoleSinceShare
Wi 6 Propco Topco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Sep 1, 2017
PC Ridgewood Propco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Sep 1, 2017
Scott Myers Individual Operational/Managerial Control Mar 2, 2020
Adp of the SNF Mar 2, 2020
Daniel Sternbuch Individual Adp of the SNF Sep 1, 2017
Peace Capital LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2017 100%
James P Gierahn Individual Operational/Managerial Control Sep 1, 2017
Adp of the SNF Sep 1, 2017
Amanda M Baker Individual Operational/Managerial Control Jan 12, 2025
Adp of the SNF Jan 12, 2025
Jacob Klugman Individual Adp of the SNF Sep 1, 2017
SMS 2021 Trust Organization, Lakewood, NJ Holding company, For-profit Adp of the SNF Sep 1, 2017
Karen Culp Individual Operational/Managerial Control Feb 3, 2020
Adp of the SNF Feb 3, 2020
Yosef Hellman Individual Operational/Managerial Control Sep 1, 2017
Adp of the SNF Sep 1, 2017
Des Capital LLC Organization, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Sep 1, 2017
JRK Investments LLC Organization, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Sep 1, 2017
Peace Capital Holdings II LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Sep 1, 2017
Shalom Stein Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2017 100%
Corporate Officer Sep 1, 2017
Managing Control - Governing Body Sep 1, 2017
Trustee of the SNF Sep 1, 2017
Adp of the SNF Sep 1, 2017
Wi 6 Propco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Sep 1, 2017

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 8

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1346763729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 WOOD RD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 WOOD RD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065048",
            "telephone_number": "262-554-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT RIDGEWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "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 REPRESENTATIVE",
        "authorized_official_telephone_number": "732-313-0880"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "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 Racine, WI

Sources for this page

Verify at the official NPI Registry.