NPIMap

Organization Active NPI

Complete Care at Prospect Heights LLC

  • Skilled Nursing Facility
  • Hackensack, NJ
National Provider Identifier
1750062535
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 PROSPECT HEIGHTS LLC
Practice address
336 Prospect Ave
Hackensack, NJ 07601-2506
Phone
(201) 678-1800
Fax
(201) 518-7743
NPI assigned
Jul 26, 2023
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
Authorized Signer
Phone
(201) 678-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

336 Prospect Ave
Hackensack, NJ 07601-2506

Mailing address

336 Prospect Ave
Hackensack, NJ 07601-2506
Phone (201) 678-1800

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
O20231107000171 NJ Part A Provider - Skilled Nursing Facility 0345697728 Practice locations: Hackensack, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750062535. Details of each certification follow.

Skilled nursing facility certification: CCN 315460

Legal name
COMPLETE CARE AT PROSPECT HEIGHTS LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 5, 2000
Last certification
Sep 27, 2024
Beds
196
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Complete Care
Organization structure
LLCProprietary
Enrollment address
336 Prospect Ave
Hackensack, NJ 07601-2506
Nursing home name
COMPLETE CARE AT PROSPECT HEIGHTS LLC
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at Prospect Heights LLCCCN 315460 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 5, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
196122.0 residents per day on average
Chain
Complete Care85 facilities in the chain
Penalties (3 years)
6Fines totaling $59,312

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
31D0962900Complete Care at Prospect Heights336 Prospect Avenue, Hackensack, NJ 07601Certificate of waiverJul 15, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
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 Sep 28, 2023 90.2%
Adp of the SNF Sep 28, 2023
PC HMH Holdings 2 LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 28, 2023 90.2%
Adp of the SNF Sep 28, 2023
Vilma Aspril Individual Operational/Managerial Control Oct 21, 2024
Adp of the SNF Oct 21, 2024
Daniel Sternbuch Individual Adp of the SNF Sep 28, 2023
Indirect Ownership Interest Sep 28, 2023 4.9%
PC HMH Opco Holdings 2 LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 28, 2023 100%
PC HMH Propco Holdings 2 LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Sep 28, 2023
Nikita Lamara Sowma Individual Operational/Managerial Control Feb 10, 2025
Adp of the SNF Feb 10, 2025
Jacob Klugman Individual Adp of the SNF Sep 28, 2023
Indirect Ownership Interest Sep 28, 2023 4.9%
SMS 2021 Trust Organization, Lakewood, NJ For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 28, 2023 85.78%
Adp of the SNF Sep 28, 2023
Prospect Heights Propco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Sep 28, 2023
Joseph Mina Individual Corporate Director Nov 18, 2024
Operational/Managerial Control Nov 18, 2024
Adp of the SNF Nov 18, 2024
Hershel Schwartz Individual Operational/Managerial Control Sep 28, 2023
Adp of the SNF Sep 28, 2023
RJ Clemor Individual Operational/Managerial Control Jun 7, 2024
Adp of the SNF Jun 7, 2024
Karina Elsebai Individual Corporate Director Sep 28, 2023
Operational/Managerial Control Sep 28, 2023
Adp of the SNF Sep 28, 2023
Des Capital LLC Organization, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Sep 28, 2023
Indirect Ownership Interest Sep 28, 2023 4.9%
JRK Investments LLC Organization, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Sep 28, 2023
Indirect Ownership Interest Sep 28, 2023 4.9%
Shalom Stein Individual Corporate Officer Sep 28, 2023
Managing Control - Governing Body Sep 28, 2023
Trustee of the SNF Sep 28, 2023
Indirect Ownership Interest Sep 28, 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.

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

Affiliated clinicians 8

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": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1750062535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012506",
            "telephone_number": "201-678-1800",
            "fax_number": "201-518-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012506",
            "telephone_number": "201-678-1800",
            "fax_number": "201-518-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT PROSPECT HEIGHTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "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": "201-678-1800"
    },
    "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 Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.