Complete Care at Passaic LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 5092086983 Enrollment ID O20170811000251

Linked facilitiesFacilities

StatesStates

4 parties: 1 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Hershel Schwartz	7517278369	Individual	5% or Greater Indirect Ownership Interest; W-2 Managing Employee	10
CCM at Passaic Holding LLC	5890066799	Organization	5% or Greater Direct Ownership Interest	100
Shalom Stein	9638440308	Individual	5% or Greater Indirect Ownership Interest	—
Samuel Stern	3476541061	Individual	Corporate Officer	10

Hershel SchwartzPAC 7517278369
Individual105% or Greater Indirect Ownership Interest; W-2 Managing Employee
CCM at Passaic Holding LLCPAC 5890066799
Organization1005% or Greater Direct Ownership Interest
Shalom SteinPAC 9638440308
Individual5% or Greater Indirect Ownership Interest
Samuel SternPAC 3476541061
Individual10Corporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Complete Care at Fair Lawn Edge Complete Care at Passaic LLC 174 residents		Other disclo…	3.02	Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM★★★★☆	174

Complete Care at Fair Lawn Edge
Complete Care at Passaic LLC
Other disclosed role174 res3.02 HPRD
Overall 3Staffing Staff 3

Related CMS associates

Name match to Complete Care at Passaic LLC in FEC filings. Similar names may appear—confirm on FEC.gov.