Active NPI
Complete Care at Phillipsburg LLC
- Skilled Nursing Facility
- Phillipsburg, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- COMPLETE CARE AT PHILLIPSBURG LLC
- Practice address
- 843 Wilbur Ave
Phillipsburg, NJ 08865-3453 - Phone
- (908) 454-2627
- NPI assigned
- Apr 21, 2021
- Last updated
- May 1, 2026
- 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
- Authorized Signer
- Phone
- (732) 966-3091
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
843 Wilbur Ave
Phillipsburg, NJ 08865-3453
Mailing address
843 Wilbur Ave
Phillipsburg, NJ 08865-3453
Phone (908) 454-2627
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210917001250 | NJ | Part A Provider - Skilled Nursing Facility | 0244637254 | Practice locations: Phillipsburg, NJ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1477135309. Details of each certification follow.
Skilled nursing facility certification: CCN 315311
- Legal name
- COMPLETE CARE AT PHILLIPSBURG LLC
- Doing business as
- COMPLETE CARE AT PHILLIPSBURG LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1992
- Last certification
- Feb 24, 2025
- Beds
- 60
- Ownership / control type
- Corporation
- Multi-facility organization
- Complete Care
- Most recent change of ownership
- Apr 1, 2011
- Organization structure
- LLC
- Incorporated
- Jan 20, 2021 in DE
- Enrollment address
- 843 Wilbur Ave
Phillipsburg, NJ 08865-3453 - Nursing home name
- COMPLETE CARE AT PHILLIPSBURG, LLC
- Affiliated entity
- COMPLETE CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Complete Care at Phillipsburg, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 1, 1992
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- Complete Care
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Peace Capital Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| SMS 2021 Trust | 5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 95.1% |
| PC Wta Opco Holdco LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| Hershel Schwartz | W-2 Managing Employee | Jul 1, 2021 | |
| PC NJ1 Opcos LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2021 | 100% |
| Shalom Stein | Corporate Officer | May 1, 2021 |
Facilities with the same owner 66
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Newton, NJ
- NPI 1568056018
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Holmdel, NJ
- NPI 1346964715
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Phillipsburg, NJ
- NPI 1902487820
PC NJ1 Opcos LLC, PC Wta Opco Holdco LLC, Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Brick, NJ
- NPI 1053035329
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Burlington, NJ
- NPI 1790366615
PC NJ1 Opcos LLC, PC Wta Opco Holdco LLC, Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Cape May Court House, NJ
- NPI 1770164691
PC NJ1 Opcos LLC, PC Wta Opco Holdco LLC, Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- East Orange, NJ
- NPI 1023602570
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- North Bergen, NJ
- NPI 1699499863
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Englewood, NJ
- NPI 1922689843
PC NJ1 Opcos LLC, PC Wta Opco Holdco LLC, Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Voorhees, NJ
- NPI 1104407030
PC NJ1 Opcos LLC, PC Wta Opco Holdco LLC, Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Wayne, NJ
- NPI 1962157909
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Matawan, NJ
- NPI 1821679754
PC NJ1 Opcos LLC, PC Wta Opco Holdco LLC, Peace Capital Holdings LLC, SMS 2021 Trust
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.
-
- Family Medicine Physician
- Phillipsburg, NJ
- NPI 1417915968
Affiliated clinicians 2
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": "1618963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777593600000",
"number": "1477135309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 WILBUR AVE",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088653453",
"telephone_number": "908-454-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "843 WILBUR AVE",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088653453",
"telephone_number": "908-454-2627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE CARE AT PHILLIPSBURG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-21",
"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 SIGNER",
"authorized_official_telephone_number": "732-966-3091"
},
"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 Phillipsburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.