NPIMap

Organization Active NPI

Green Knoll Care Limited Liability Company

  • Skilled Nursing Facility
  • Bridgewater, NJ
National Provider Identifier
1669944997
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GREEN KNOLL CARE LIMITED LIABILITY COMPANY
Practice address
875 Route 202/206
Bridgewater, NJ 08807-1861
Phone
(908) 526-8600
NPI assigned
Dec 27, 2018
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

875 Route 202/206
Bridgewater, NJ 08807-1861

Mailing address

875 Route 202/206
Bridgewater, NJ 08807-1861

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
O20190220003249 NJ Part A Provider - Skilled Nursing Facility 7315285178 Practice locations: Bridgewater, NJ

Skilled nursing facility certification: CCN 315134

Legal name
GREEN KNOLL CARE LIMITED LIABILITY COMPANY
Doing business as
COMPLETE CARE AT GREEN KNOLL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 20, 1972
Last certification
Sep 26, 2024
Beds
176
Ownership / control type
Corporation
Multi-facility organization
Complete Care
Organization structure
LLCProprietary
Incorporated
Sep 25, 2018 in NJ
Enrollment address
875 Route 202/206
Bridgewater, NJ 08807-1861
Nursing home name
COMPLETE CARE AT GREEN KNOLL
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at Green KnollCCN 315134
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
Feb 20, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
176156.9 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
31D2200420Complete Care at Green Knoll875 Route 202/206 North, Bridgewater, NJ 08807Certificate of waiverNov 15, 2026

National Provider Directory

National Provider Directory

Locations

875 Route 202 206
Bridgewater, NJ 08807
Phone (908) 526-8600

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
Susan Jurczynski Individual Adp of the SNF Oct 10, 2023
Wanda Mercado Individual Operational/Managerial Control Oct 19, 2022
Adp of the SNF 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, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2019
Ahmad a Mur Individual Operational/Managerial Control Feb 1, 2019
Adp of the SNF Apr 10, 2019
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
Green Knoll Care Reality LLC Organization, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2019
Yitzchok Meir Levovitz Individual Operational/Managerial Control Mar 1, 2019
Adp of the SNF Mar 1, 2019
Benny Schlaff Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2019 22.5%
Adp of the SNF Feb 1, 2019
Rikka Libatique Individual Operational/Managerial Control Jan 6, 2025
Adp of the SNF Jan 6, 2025
Shalom Stein Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2019 54%
Corporate Director Feb 1, 2019
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.

Affiliated clinicians 5

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": "1669944997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ROUTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 ROUTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071861",
            "telephone_number": "908-526-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN KNOLL CARE LIMITED LIABILITY COMPANY",
        "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 Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.