NPIMap

Organization Active NPI

Complete Care at Bayshore LLC

  • Skilled Nursing Facility
  • Holmdel, NJ
National Provider Identifier
1346964715
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COMPLETE CARE AT BAYSHORE LLC
Practice address
715 N Beers St
Holmdel, NJ 07733-1503
Phone
(732) 313-0880
NPI assigned
Sep 29, 2022
Last updated
Jun 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shalom Stein
Title
Ceo
Phone
(732) 313-0880

Specialties & licenses 1

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

Addresses

Primary practice location

715 N Beers St
Holmdel, NJ 07733-1503

Mailing address

715 N Beers St
Holmdel, NJ 07733-1503

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
O20230412002610 NJ Part A Provider - Skilled Nursing Facility 3779958335 Practice locations: Holmdel, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346964715. Details of each certification follow.

Skilled nursing facility certification: CCN 315252

Legal name
COMPLETE CARE AT BAYSHORE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 11, 1988
Last certification
Oct 30, 2024
Beds
232
Ownership / control type
Corporation
Multi-facility organization
Complete Care Management
Most recent change of ownership
Mar 16, 2023
Organization structure
LLCProprietary
Enrollment address
715 N Beers St
Holmdel, NJ 07733-1503
Nursing home name
COMPLETE CARE AT BAYSHORE LLC
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at Bayshore LLCCCN 315252 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 11, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
232148.6 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
Tax ID family
Complete Care at Bayshore2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Constance Opoku Individual Adp of the SNF Mar 16, 2023
Nachum Schlaff Individual Adp of the SNF Mar 16, 2023
Peace Capital Holdings LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 16, 2023 100%
Adp of the SNF Mar 16, 2023
Wanda Mercado Individual Operational/Managerial Control Mar 16, 2023
Adp of the SNF Mar 16, 2023
Baljinder Grewal Individual Operational/Managerial Control Mar 16, 2023
Adp of the SNF Mar 16, 2023
PC HMH Opco Holdngs LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 16, 2023 100%
Magdy a Nasra Individual Operational/Managerial Control Mar 16, 2023
Adp of the SNF Mar 16, 2023
PC HMH Holdings LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 16, 2023 100%
Adp of the SNF Mar 16, 2023
Bayshore Propco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Mar 16, 2023
SMS 2021 Trust Organization, Lakewood, NJ For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 16, 2023 95.1%
Adp of the SNF Mar 16, 2023
Bayshore Propco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Mar 16, 2023
PC HMH Propco Intermediate 9 LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Mar 16, 2023
Eef Capital LLC Organization, Brooklyn, NY LLC, Holding company, For-profit Adp of the SNF Mar 16, 2023
Yitzchok Meir Levovitz Individual Operational/Managerial Control Mar 16, 2023
Adp of the SNF Mar 16, 2023
PC HMH Topco Propco Holdings LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Mar 16, 2023
Benny Schlaff Individual Adp of the SNF Mar 16, 2023
Menachem Matzliah Individual Operational/Managerial Control Mar 16, 2023
Adp of the SNF Mar 16, 2023
Shalom Stein Individual Corporate Officer Mar 16, 2023
Managing Control - Governing Body Mar 16, 2023
Trustee of the SNF Mar 16, 2023
Indirect Ownership Interest Mar 16, 2023 4.9%

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, 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": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1346964715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331503",
            "telephone_number": "732-313-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT BAYSHORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_title_or_position": "CEO",
        "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 Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.