Organization Active NPI

Complete Care at Clark LLC

  • Skilled Nursing Facility
  • Clark, NJ
National Provider Identifier
1881327468
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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)CodeLicenseStatePrimary
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

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
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
LLCProprietary
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 LLCCCN 315341 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 3, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
140133.6 residents per day on average
Chain
Complete Care85 facilities in the chain
Penalties (3 years)
1Fines totaling $25,753

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
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.

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 Apr 1, 2023 20%
Adp of the SNF Apr 1, 2023
Michele Morandi Individual Operational/Managerial Control Apr 1, 2023
Adp of the SNF Apr 1, 2023
Wanda Mercado Individual Operational/Managerial Control Apr 1, 2023
Baljinder Grewal Individual Operational/Managerial Control Apr 1, 2023
Adp of the SNF Apr 1, 2023
Moshe Veshnefsky Individual Operational/Managerial Control Apr 17, 2023
Adp of the SNF Apr 17, 2023
Clark Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2023 100%
Adp of the SNF Apr 1, 2023
Hector Howie H. Comeo Individual Adp of the SNF Apr 1, 2023
PC Clark Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 60%
Adp of the SNF Apr 1, 2023
PC Clark Property LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Apr 1, 2023
Eef Capital LLC Organization, Brooklyn, NY LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 40%
Adp of the SNF Apr 1, 2023
Yitzchok Meir Levovitz Individual Operational/Managerial Control Apr 1, 2023
Benny Schlaff Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 20%
Adp of the SNF Apr 1, 2023
Shalom Stein Individual 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.

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, and the practitioner matching its NPPES authorized official.

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

Sources for this page

Verify at the official NPI Registry.