NPIMap

Organization Active NPI

Complete Care at Laurelton LLC

  • Skilled Nursing Facility
  • Brick, NJ
National Provider Identifier
1679061030
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 LAURELTON LLC
Practice address
475 Jack Martin Blvd
Brick, NJ 08724-7732
Phone
(732) 458-6600
NPI assigned
May 1, 2018
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
Owner
Phone
(732) 313-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

475 Jack Martin Blvd
Brick, NJ 08724-7732

Mailing address

475 Jack Martin Blvd
Brick, NJ 08724-7732

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
O20180627000975 NJ Part A Provider - Skilled Nursing Facility 8921354325 Practice locations: Brick, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679061030. Details of each certification follow.

Skilled nursing facility certification: CCN 315274

Legal name
COMPLETE CARE AT LAURELTON LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 12, 1989
Last certification
Feb 9, 2024
Beds
180
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Complete Care
Organization structure
LLCProprietary
Incorporated
Mar 15, 2018 in DE
Enrollment address
475 Jack Martin Blvd
Brick, NJ 08724-7732
Nursing home name
COMPLETE CARE AT LAURELTON, LLC
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at Laurelton, LLCCCN 315274 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 12, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180119.8 residents per day on average
Chain
Complete Care85 facilities in the chain
Penalties (3 years)
2Fines totaling $163,101

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
31D0679116Complete Care of Laurelton475 Jack Martin Blvd, Brick, NJ 08724Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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 InterestOwner Jun 13, 2018 20%
Peace Capital LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Jun 13, 2018 59%
Eef Capital LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Jun 13, 2018 40%
Benny Schlaff Individual 5% Or Greater Indirect Ownership InterestOwner Jun 13, 2018 20%
Shalom Stein Individual 5% Or Greater Indirect Ownership InterestOwner Jun 13, 2018 59%
W-2 Managing Employee Jun 13, 2018

Facilities with the same owner 18

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

View all 18

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1679061030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732",
            "telephone_number": "732-458-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT LAURELTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "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": "OWNER",
        "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 Brick, NJ

Sources for this page

Verify at the official NPI Registry.