NPIMap

Organization Active NPI

Complete Care at Wheaton LLC

  • Skilled Nursing Facility
  • Wheaton, MD
National Provider Identifier
1912612896
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 WHEATON LLC
Practice address
4011 Randolph Rd
Wheaton, MD 20902-1054
Phone
(301) 933-2500
NPI assigned
Jan 16, 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
Ceo
Phone
(732) 313-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4011 Randolph Rd
Wheaton, MD 20902-1054

Mailing address

4011 Randolph Rd
Wheaton, MD 20902-1054

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 MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230426001895 MD Part A Provider - Skilled Nursing Facility 2668837659 Practice locations: Wheaton, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912612896. Details of each certification follow.

Skilled nursing facility certification: CCN 215025

Legal name
COMPLETE CARE AT WHEATON LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Apr 10, 2025
Beds
116
Ownership / control type
Corporation
Multi-facility organization
Complete Care Management
Most recent change of ownership
Feb 1, 2023
Organization structure
LLCProprietary
Enrollment address
4011 Randolph Road
Wheaton, MD 20902-1054
Nursing home name
COMPLETE CARE AT WHEATON
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at WheatonCCN 215025 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
116110.9 residents per day on average
Chain
Complete Care85 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nisanel Yaakov Silverberg Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Peace Capital Holdings LLC Organization, Howell, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 90.2%
Adp of the SNF Feb 1, 2023
Abdoulatif Ganda Nabi Individual Operational/Managerial Control Dec 18, 2023
Adp of the SNF Dec 18, 2023
Daniel Sternbuch Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Indirect Ownership Interest Feb 1, 2023 4.9%
Adesse MD Peace MD5 Propco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
Wheaton MD Propco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
Melissa Mansfield Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Adesse MD5 Propco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
Jacob Klugman Individual Adp of the SNF Feb 1, 2023
Indirect Ownership Interest Feb 1, 2023 4.9%
PC MD5 Topco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 90.2%
Adp of the SNF Feb 1, 2023
SMS 2021 Trust Organization, Lakewood, NJ Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 85.78%
Adp of the SNF Feb 1, 2023
Adesse Holdings LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
Kimberly Bates Individual Operational/Managerial Control Mar 31, 2025
Adp of the SNF Mar 31, 2025
HC Family Trust Organization, Toms River, NJ For-profit Adp of the SNF Feb 1, 2023
Vickie L Cox Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Narender Bharaj Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
PC MD5 Opco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2023 100%
Akiva Schonfeld Individual Trustee of the SNF Feb 1, 2023
Adp of the SNF Feb 1, 2023
Des Capital LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Feb 1, 2023 2.5%
MD 4 Propco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Feb 1, 2023
JRK Investments LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Feb 1, 2023 2.5%
Shalom Stein Individual Corporate Officer Feb 1, 2023
Managing Control - Governing Body Feb 1, 2023
Trustee of the SNF Feb 1, 2023
Adp of the SNF Feb 1, 2023
Indirect Ownership Interest Feb 1, 2023 44.2%

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

Practitioners 2

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 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": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1912612896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 RANDOLPH RD",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209021054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 RANDOLPH RD",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209021054",
            "telephone_number": "301-933-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT WHEATON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "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": "CEO",
        "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 Wheaton, MD

Sources for this page

Verify at the official NPI Registry.