Active NPI
Complete Care at Clark LLC
- Skilled Nursing Facility
- Clark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- COMPLETE CARE AT CLARK LLC
- Practice address
- 1213 Westfield Ave
Clark, NJ 07066-1323 - Phone
- (732) 396-7100
- NPI assigned
- Jul 1, 2022
- Last updated
- Jun 3, 2026
- 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
- Authorized Official
- Phone
- (732) 313-0880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1213 Westfield Ave
Clark, NJ 07066-1323
Mailing address
1213 Westfield Ave
Clark, NJ 07066-1323
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 |
|---|---|---|---|---|
| O20230516001231 | NJ | Part A Provider - Skilled Nursing Facility | 2860858966 | Practice locations: Clark, NJ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1881327468. Details of each certification follow.
Skilled nursing facility certification: CCN 315341
- Legal name
- COMPLETE CARE AT CLARK LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 3, 1995
- Last certification
- May 15, 2025
- Beds
- 140
- Ownership / control type
- Corporation
- Multi-facility organization
- COMPLETE CARE
- Most recent change of ownership
- Apr 1, 2023
- Organization structure
- LLC
- Enrollment address
- 1213 Westfield Ave
Clark, NJ 07066-1323 - Nursing home name
- COMPLETE CARE AT CLARK LLC
- Affiliated entity
- COMPLETE CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Complete Care at Clark LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 3, 1995
- Medicare certification status
- Active
- Certified beds
- 140
- Chain
- Complete Care
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Complete Care at Clark
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Clark, NJ
- NPI 1881327229
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nachum Schlaff | 5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 20% |
| Adp of the SNF | Apr 1, 2023 | ||
| Michele Morandi | Operational/Managerial Control | Apr 1, 2023 | |
| Adp of the SNF | Apr 1, 2023 | ||
| Wanda Mercado | Operational/Managerial Control | Apr 1, 2023 | |
| Baljinder Grewal | Operational/Managerial Control | Apr 1, 2023 | |
| Adp of the SNF | Apr 1, 2023 | ||
| Moshe Veshnefsky | Operational/Managerial Control | Apr 17, 2023 | |
| Adp of the SNF | Apr 17, 2023 | ||
| Clark Holdco LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2023 | 100% |
| Adp of the SNF | Apr 1, 2023 | ||
| Hector Howie H. Comeo | Adp of the SNF | Apr 1, 2023 | |
| PC Clark Holdco LLC | 5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 60% |
| Adp of the SNF | Apr 1, 2023 | ||
| PC Clark Property LLC | Adp of the SNF | Apr 1, 2023 | |
| Eef Capital LLC | 5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 40% |
| Adp of the SNF | Apr 1, 2023 | ||
| Yitzchok Meir Levovitz | Operational/Managerial Control | Apr 1, 2023 | |
| Benny Schlaff | 5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 20% |
| Adp of the SNF | Apr 1, 2023 | ||
| Shalom Stein | Corporate Officer | Apr 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Roselle Park, NJ
- NPI 1033186739
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 16
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Passaic, NJ
- NPI 1306430855
Eef Capital LLC
-
- Skilled Nursing Facility
- East Orange, NJ
- NPI 1023602570
Eef Capital LLC
-
- Skilled Nursing Facility
- Toms River, NJ
- NPI 1649827718
Eef Capital LLC
-
- Skilled Nursing Facility
- Plainfield, NJ
- NPI 1033739891
Eef Capital LLC
-
dba Complete Care at Green Acres
- Skilled Nursing Facility
- Toms River, NJ
- NPI 1689192205
Eef Capital LLC
-
- Skilled Nursing Facility
- Bridgewater, NJ
- NPI 1669944997
Eef Capital LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Summit, NJ
- NPI 1174887756
Affiliated clinicians 6
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": "1656633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780444800000",
"number": "1881327468",
"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": "2022-07-01",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A",
"authorized_official_last_name": "STEIN",
"authorized_official_first_name": "SHALOM",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "732-313-0880"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing 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": []
}
Other providers in Clark, NJ
- Jessica Lyn Colon, BCBA
- Comfort Nest Homes
- Comfort Nest Homes
- Compass Psych Services a NJ Nonprofit Co
- Complete Care at Clark LLC
- Comprehensive Psychological Services, PA
- Cindy Conceicao, BCBA
- Cornerstone Physical Therapy Health and Wellness Center, PC
- Cornerstone Physical Therapy Inc
- Marissa Cortinas, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.