NPIMap

Organization Active NPI

Complete Care at Lakeview LLC

  • Skilled Nursing Facility
  • Wayne, NJ
National Provider Identifier
1962157909
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COMPLETE CARE AT LAKEVIEW LLC
Practice address
130 Terhune Dr
Wayne, NJ 07470-7104
Phone
(973) 839-4500
NPI assigned
Feb 17, 2022
Last updated
Feb 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Sam Stern
Title
Cfo
Phone
(877) 567-0402

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

130 Terhune Dr
Wayne, NJ 07470-7104

Mailing address

14C 53Rd St
Brooklyn, NY 11232-2644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240122002106 NJ Part A Provider - Skilled Nursing Facility 2567814932 Practice locations: Wayne, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962157909. Details of each certification follow.

Skilled nursing facility certification: CCN 315110

Legal name
COMPLETE CARE AT LAKEVIEW LLC
Doing business as
COMPLETE CARE AT WAYNE HILLS REHABILITATION & RESPIRATORY CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Sep 23, 1969
Last certification
May 24, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
130 Terhune Dr
Wayne, NJ 07470-7104
Nursing home name
COMPLETE CARE AT WAYNE HILLS REHAB & RESP CENTER
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at Wayne Hills Rehab & Resp CenterCCN 315110 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 23, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120104.3 residents per day on average
Chain
Complete Care85 facilities in the chain
Penalties (3 years)
2Fines totaling $42,630

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Complete Care at Lakeview LLC2 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 15

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 5% Or Greater Indirect Ownership Interest Nov 3, 2023 90.2%
Daniel Sternbuch Individual Adp of the SNF Nov 3, 2023
Indirect Ownership Interest Nov 3, 2023 4.9%
Sandra Kolinsky Individual Adp of the SNF Jul 19, 2023
Lakeview Opco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 3, 2023 100%
Jacob Klugman Individual Adp of the SNF Nov 3, 2023
Indirect Ownership Interest Nov 3, 2023 4.9%
SMS 2021 Trust Organization, Toms River, NJ For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 3, 2023 85.78%
Adp of the SNF Nov 3, 2023
Lakeview Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 3, 2023 90.2%
Adp of the SNF Nov 3, 2023
Hershel Schwartz Individual Operational/Managerial Control Nov 3, 2023
Adp of the SNF Nov 30, 2023
Lakeview PC Propco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Nov 3, 2023
Des Capital LLC Organization, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Nov 3, 2023
Indirect Ownership Interest Nov 3, 2023 4.9%
William F Grella Individual Operational/Managerial Control Nov 3, 2023
Adp of the SNF Nov 3, 2023
JRK Investments LLC Organization, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Nov 3, 2023
Indirect Ownership Interest Nov 3, 2023 4.9%
Raphoel Muller Individual Operational/Managerial Control Jul 12, 2023
Adp of the SNF Jul 12, 2023
Lakeview Propco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Nov 3, 2023
Shalom Stein Individual Corporate Officer Nov 3, 2023
Managing Control - Governing Body Nov 3, 2023
Trustee of the SNF Nov 3, 2023
Indirect Ownership Interest Nov 3, 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

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 9

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": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1962157909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14C 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TERHUNE DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707104",
            "telephone_number": "973-839-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT LAKEVIEW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "877-567-0402"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.