MEDICARE: COMPLETE CARE AT EAST ORANGE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility

General Provider Information

NPI Number	:	1417610031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE CARE AT EAST ORANGE LLC

Provider Business Mailing Address
First Line	:	140 PARK AVE
Second Line	:
City	:	EAST ORANGE
State	:	NJ
Zip	:	07017-5248
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 PARK AVE
Second Line	:
City	:	EAST ORANGE
State	:	NJ
Zip	:	07017-5248
Country	:	US
Telephone Number	:	973-677-1500
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHALOM STEIN
Credential	:
Telephone Number	:	732-313-0880

Provider Enumeration Date	:	10/20/2021
Last Update Date	:	10/20/2021

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1932105376 — WINDSOR GARDENS CARE CENTER, INC.
Practice Location Address:

140 PARK AVE
EAST ORANGE, NJ
07017-5248

Practice Phone: 973-677-1500
Practice Fax: 973-677-1654

1134284771 — WINDSOR GARDENS ADULT DAY CARE
Practice Location Address:

140 PARK AVE
EAST ORANGE, NJ
07017-5248

Practice Phone: 973-677-0111
Practice Fax: 973-677-0096

1275700809 — KOKILA CHANDARANA, M.D; PA
Practice Location Address:

140 PARK AVE , WINDSOR GARDEN CARE CENTER
EAST ORANGE, NJ
07017-5248

Practice Phone: 973-677-1500
Practice Fax: 973-675-0512

1053677534 — WINDSOR GARDENS CARE CENTER
Practice Location Address:

140 PARK AVE
EAST ORANGE, NJ
07017-5248

Practice Phone: 201-767-0100
Practice Fax:

1023602570 — COMPLETE CARE AT EAST ORANGE LLC
Practice Location Address:

140 PARK AVE
EAST ORANGE, NJ
07017-5248

Practice Phone: 973-677-1500
Practice Fax:

Directions to “COMPLETE CARE AT EAST ORANGE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.