Complete Care at Clark LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

COMPLETE CARE AT CLARK LLC

Practice address

1213 Westfield Ave
Clark, NJ 07066-1323

Phone

(732) 396-7100

NPI assigned

Jul 4, 2022

Last updated

May 1, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shalom Stein

Title

Authorized Representative

Phone

(732) 313-0880

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Complete Care at Clark2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Complete Care at Clark LLC

  • Skilled Nursing Facility
  • Clark, NJ
  • NPI 1881327468
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1881327229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 WESTFIELD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 WESTFIELD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661323",
            "telephone_number": "732-396-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT CLARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-04",
        "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 REPRESENTATIVE",
        "authorized_official_telephone_number": "732-313-0880"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "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": []
}

• Tracey Coleman, NP
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• Complete Care at Clark LLC
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• Cindy Conceicao, BCBA
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• Cornerstone Physical Therapy Inc

• Nursing Facility/Intermediate Care Facility in Clark, NJ
• Providers in Clark, NJ by specialty
• Nursing Facility/Intermediate Care Facility in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.