COMPLETE CARE AT WILLOW CREEK LLC (NPI# 1124648993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124648993 |
| Entity Type | Organization |
| Organization Name | COMPLETE CARE AT WILLOW CREEK LLC |
| Practice Address |
1165 Easton Ave Somerset NJ 08873-1613 |
| Practice Telephone | 7322464100 |
| Mailing Telephone | 7322464100 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | SHALOM STEIN (OWNER) |
| Authorized Official Telephone | 7329663091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295355055 | Complete Care At Willow Creek LLC | Skilled Nursing Facility | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2020-04-22 |
| Street Address |
1165 EASTON AVE |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316114861 | Cpl (willow Creek) LLC | Skilled Nursing Facility | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2008-05-14 |
| 1295355055 | Complete Care At Willow Creek LLC | Skilled Nursing Facility | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2020-04-22 |
| 1811474281 | Mary A Naughton | Occupational Therapy Assistant | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2018-07-27 |
| 1861985517 | Melissa Plasse | Speech-Language Pathologist | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2018-06-07 |
| 1164911723 | Quoc Anh Tran | Occupational Therapist | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2018-05-08 |
| 1053817023 | Yiwei Xie | Occupational Therapist | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2018-03-30 |
| 1528577293 | 1165 Easton Avenue Operations LLC | Nursing Facility/Intermediate Care Facility | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2017-09-26 |
| 1487181442 | Stephen Gerard Jelinek | Physical Therapy Assistant | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2017-05-20 |
| 1770017279 | Faryal Rafiq | Student in an Organized Health Care Education/Training Program | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2017-04-12 |
| 1326587189 | Tulsi Shah | Physical Therapist | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2017-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
| 1710461157 | Rachnaben Tripathi | Clinic/Center | New Life Adult Daycare, 727 Franklin Blvd., Suite 6, Somerset, NJ 08873 | 2018-09-21 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
| 1548779333 | Alternatives, Inc. | Community/Behavioral Health | 10 Vince Rd, Somerset, NJ 08873 | 2017-09-25 |
| 1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
| 1245766252 | Salma Khan | Dentist | 1543 Nj 27, Somerset, NJ 08873 | 2017-05-11 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in zip 08873 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| 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. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588641757 | Siemon Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 228 Siemon Dr, Somerset, PA 15501-7055 | 2005-12-28 |
| 1528577293 | 1165 Easton Avenue Operations LLC | Nursing Facility/Intermediate Care Facility | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2017-09-26 |
| 1568839710 | 1165 Easton Avenue Operations LLC | Nursing Facility/Intermediate Care Facility | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2015-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018978 | Hamilton Operator, LLC | Nursing Facility/Intermediate Care Facility | 1501 State Highway 33, Hamilton Square, NJ 08690-1705 | 2019-05-10 |
| 1316399744 | Robert Anokye | Nursing Facility/Intermediate Care Facility | 234 Summit Ave, New Milford, NJ 07646-1714 | 2016-07-11 |
| 1548620701 | Wishing Well Adult Day Health Care, LLC | Nursing Facility/Intermediate Care Facility | 3450 Princeton Pike Ste 120, Lawrenceville, NJ 08648-1206 | 2016-03-02 |
| 1437549169 | Search Day Program | Nursing Facility/Intermediate Care Facility | 144 Robertsville Road, Freehold, NJ 07728 | 2015-02-03 |
| 1295149201 | Lincoln Park Care Center | Nursing Facility/Intermediate Care Facility | 308 Park Ave, 2nd Fl., Orange, NJ 07050-2914 | 2014-06-17 |
| 1811278047 | Ark Internal Medicine LLC | Nursing Facility/Intermediate Care Facility | 26 Richard Rd, Monmouth Junction, NJ 08852-2522 | 2011-09-01 |
| 1215260427 | Universal Medical Care | Nursing Facility/Intermediate Care Facility | 883 Schyuler Ave, # 23, Kearny, NJ 07032-4236 | 2009-09-08 |
| 1396975710 | Rooms To Grow | Nursing Facility/Intermediate Care Facility | 31 Brown St, Maplewood, NJ 07040-3012 | 2009-07-20 |
| 1558517482 | Salem County Improvement Authority | Nursing Facility/Intermediate Care Facility | 438 Salem Woodstown Rd, Salem, NJ 08079-4220 | 2008-08-12 |
| 1285801399 | Shore Professional Services LLC | Nursing Facility/Intermediate Care Facility | 1354 Forest Glen Ct, Toms River, NJ 08755-1386 | 2008-05-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.