NPIMap

Organization Active NPI

Complete Care at Nazareth LLC

  • Skilled Nursing Facility
  • Stoughton, WI
National Provider Identifier
1972091643
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 NAZARETH LLC
Practice address
814 Jackson St
Stoughton, WI 53589-1520
Phone
(608) 873-6448
NPI assigned
Apr 27, 2018
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
Owner
Phone
(732) 313-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

814 Jackson St
Stoughton, WI 53589-1520

Mailing address

814 Jackson St
Stoughton, WI 53589-1520

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 WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180627001962 WI Part A Provider - Skilled Nursing Facility 8921354358 Practice locations: Stoughton, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972091643. Details of each certification follow.

Skilled nursing facility certification: CCN 525681

Legal name
COMPLETE CARE AT NAZARETH LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 2005
Last certification
Jan 9, 2025
Beds
99
Ownership / control type
Corporation
Multi-facility organization
Complete Care Management
Organization structure
LLCProprietary
Incorporated
Mar 22, 2018 in DE
Enrollment address
814 Jackson St
Stoughton, WI 53589-1520
Nursing home name
COMPLETE CARE AT NAZARETH LLC
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at Nazareth LLCCCN 525681 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9961.1 residents per day on average
Chain
Complete Care85 facilities in the chain
Penalties (3 years)
2Fines totaling $15,642

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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 InterestOwner Jun 1, 2018 20%
Adp of the SNF Jun 1, 2018
Nisanel Yaakov Silverberg Individual 5% Or Greater Indirect Ownership InterestOwner Jun 1, 2018 10.5%
Adp of the SNF Jun 1, 2018
Sarfraz Sidhu Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Jason Lee Williams Individual Operational/Managerial Control Aug 21, 2023
Adp of the SNF Aug 21, 2023
Karen Culp Individual Operational/Managerial Control Feb 3, 2020
Adp of the SNF Feb 3, 2020
Nazareth Property LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Mar 31, 2025
Yosef Hellman Individual 5% Or Greater Indirect Ownership InterestOwner Jun 1, 2018 10.5%
Operational/Managerial Control Jun 1, 2018
Managing Control - Governing Body Jun 1, 2018
Adp of the SNF Jun 1, 2018
Eef Capital LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2018 40%
Adp of the SNF Jun 1, 2018
Lonna Schmidt Individual Adp of the SNF Mar 31, 2025
Benny Schlaff Individual 5% Or Greater Indirect Ownership InterestOwner Jun 1, 2018 20%
Adp of the SNF Jun 1, 2018
SNJ Wisconsin LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2018 60%
Adp of the SNF Jun 1, 2018
Shalom Stein Individual 5% Or Greater Indirect Ownership InterestOwner Jun 1, 2018 39%
Managing Control - Governing Body Jun 1, 2018
Adp of the SNF Jun 1, 2018

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

Affiliated clinicians 4

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": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1972091643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 JACKSON ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 JACKSON ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891520",
            "telephone_number": "608-873-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT NAZARETH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "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": "OWNER",
        "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 Stoughton, WI

Sources for this page

Verify at the official NPI Registry.