COMPLETE CARE AT WILLOW CREEK LLC
NPI 1124648993
Nursing Facility/Intermediate Care Facility in Somerset, NJ

Q: What is Complete Care At Willow Creek LLC's NPI number?

The NPI number for Complete Care At Willow Creek LLC is 1124648993. It was assigned to this organization in the NPPES registry on April 22, 2020.

Q: What is Complete Care At Willow Creek LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since April 22, 2020CLIA 31D2349927 · Waiver

1165 EASTON AVE, SOMERSET, NJ 08873(732) 246-4100 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Complete Care At Willow Creek Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPLETE CARE AT WILLOW CREEK LLC (NPI 1124648993) is a healthcare organization registered as a nursing facility/intermediate care facility in Somerset, New Jersey and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through August 30, 2028 and lists Shalom Stein, Owner, as its authorized official.

NPPES Registry Identity

NPI1124648993

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameCOMPLETE CARE AT WILLOW CREEK LLC

Location Address1165 EASTON AVESomerset, NJ 08873-1613

Mailing Address1165 Easton AveSomerset, NJ 08873-1613 · (732) 246-4100

Phone(732) 246-4100

Organization SubpartNo

Authorized OfficialShalom SteinOwner · (732) 966-3091

Enumeration DateApril 22, 2020

NPPES CertifiedApril 22, 2020

✔ NPI 1124648993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

1165 EASTON AVE, Somerset, NJ 08873

Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2349927

Complete Care At Willow Creek · Somerset, NJ

Active · expires Aug 30, 2028

CLIA Number31D2349927

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateAugust 31, 2026

Certificate Expiration DateAugust 30, 2028

Laboratory DirectorRajendrakumar Patel

Laboratory Phone(732) 246-4100

Laboratory LocationComplete Care At Willow Creek1165 Easton Ave, Somerset, NJ 08873

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YIWEI XIE OT

Occupational Therapist