Active NPI
Complete Care at St Vincents LLC
- Skilled Nursing Facility
- Cedar Grove, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- COMPLETE CARE AT ST VINCENTS LLC
- Practice address
- 315 E Lindsley Rd
Cedar Grove, NJ 07009-1152 - Phone
- (973) 754-4800
- NPI assigned
- Dec 5, 2023
- 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
- Ceo
- Phone
- (732) 313-0880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
315 E Lindsley Rd
Cedar Grove, NJ 07009-1152
Mailing address
315 E Lindsley Rd
Cedar Grove, NJ 07009-1152
Phone (973) 754-4800
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 |
|---|---|---|---|---|
| O20240212000885 | NJ | Part A Provider - Skilled Nursing Facility | 7719320316 | Practice locations: Cedar Grove, NJ |
Skilled nursing facility certification: CCN 315194
- Legal name
- COMPLETE CARE AT ST VINCENTS LLC
- Doing business as
- COMPLETE CARE AT ST VINCENTS LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1983
- Last certification
- Jan 25, 2024
- Beds
- 151
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Complete Care
- Organization structure
- LLC
- Enrollment address
- 315 E Lindsley Rd
Cedar Grove, NJ 07009-1152 - Nursing home name
- COMPLETE CARE AT ST VINCENTS LLC
- Affiliated entity
- COMPLETE CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Complete Care at St Vincents LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1983
- Medicare certification status
- Active
- Certified beds
- 151
- Chain
- Complete Care
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 17
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 | Dec 21, 2023 | 90.2% |
| Adp of the SNF | Dec 21, 2023 | ||
| Wanda Mercado | Operational/Managerial Control | Dec 21, 2023 | |
| Adp of the SNF | Dec 21, 2023 | ||
| Mamatha R Gadarla | Operational/Managerial Control | Feb 1, 2024 | |
| Adp of the SNF | Feb 1, 2024 | ||
| Ruth Amiths | Adp of the SNF | Dec 21, 2023 | |
| Daniel Sternbuch | Adp of the SNF | Dec 21, 2023 | |
| Indirect Ownership Interest | Dec 21, 2023 | 4.9% | |
| Tiffany Romano-Diaz | Operational/Managerial Control | Jan 8, 2023 | |
| Adp of the SNF | Jan 8, 2023 | ||
| Baljinder Grewal | Operational/Managerial Control | Dec 21, 2023 | |
| Adp of the SNF | Dec 21, 2023 | ||
| Jacob Klugman | Adp of the SNF | Dec 21, 2023 | |
| Indirect Ownership Interest | Dec 21, 2023 | 4.9% | |
| SMS 2021 Trust | 5% Or Greater Indirect Ownership Interest | Dec 21, 2023 | 85.78% |
| Adp of the SNF | Dec 21, 2023 | ||
| PC St. Vincent'S Opco LLC | 5% Or Greater Direct Ownership Interest | Dec 21, 2023 | 100% |
| St. Vincent'S Propco LLC | Adp of the SNF | Dec 21, 2023 | |
| PC St. Vincent'S Topco LLC | 5% Or Greater Indirect Ownership Interest | Dec 21, 2023 | 90.2% |
| Adp of the SNF | Dec 21, 2023 | ||
| Yitzchok Meir Levovitz | Operational/Managerial Control | Dec 21, 2023 | |
| Adp of the SNF | Dec 21, 2023 | ||
| Des Capital LLC | Adp of the SNF | Dec 21, 2023 | |
| Indirect Ownership Interest | Dec 21, 2023 | 4.9% | |
| PC St. Vincent'S Propco LLC | Adp of the SNF | Dec 21, 2023 | |
| JRK Investments LLC | Adp of the SNF | Dec 21, 2023 | |
| Indirect Ownership Interest | Dec 21, 2023 | 4.9% | |
| Shalom Stein | Corporate Officer | Dec 21, 2023 | |
| Managing Control - Governing Body | Dec 21, 2023 | ||
| Trustee of the SNF | Dec 21, 2023 | ||
| Indirect Ownership Interest | Dec 21, 2023 | 4.41% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Caldwell, NJ
- NPI 1124167879
Adp of the SNF, Operational/Managerial Control
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
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
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Cape May Court House, NJ
- NPI 1770164691
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
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Voorhees, NJ
- NPI 1104407030
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
Peace Capital Holdings LLC, SMS 2021 Trust
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Clifton, NJ
- NPI 1972544815
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777593600000",
"number": "1548037120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E LINDSLEY RD",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091152",
"telephone_number": "973-754-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E LINDSLEY RD",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091152",
"telephone_number": "973-754-4800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE CARE AT ST VINCENTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-05",
"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": "CEO",
"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 Cedar Grove, 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.