Public record

CMS Skilled Nursing Facility All Owners

Associate id: 1052353125 · 27 matching records

Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
3678058385
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-06-05
First name - owner
SUJATA
Last name - owner
TADEPALLI
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
3678058385
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-06-05
First name - owner
SUJATA
Last name - owner
TADEPALLI
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
3971798315
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-11-01
First name - owner
ALEEM
Middle name - owner
ANTHONY
Last name - owner
ALI
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
3971798315
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-11-01
First name - owner
ALEEM
Middle name - owner
ANTHONY
Last name - owner
ALI
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
5496128399
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-12-09
First name - owner
LISA
Last name - owner
TENREIRO
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
5496128399
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-12-09
First name - owner
LISA
Last name - owner
TENREIRO
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
5496230104
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2010-04-01
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
5597707679
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2005-07-01
First name - owner
BRACHA
Last name - owner
WEITS
Percentage ownership
50
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
5597707679
Type - owner
I
Role code - owner
38
Role text - owner
GENERAL PARTNERSHIP INTEREST
Association date - owner
2005-07-01
First name - owner
BRACHA
Last name - owner
WEITS
Title - owner
MEMBER
Percentage ownership
50
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
5597707679
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2005-07-01
First name - owner
BRACHA
Last name - owner
WEITS
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
6204096753
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2015-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
GOVERNING BODY - MEMBER
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
7214412923
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2005-07-01
Address line 1 - owner
391 N COUNTRY RD
City - owner
SMITHTOWN
State - owner
NY
Zip code - owner
117872069
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
7416458690
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-09-03
First name - owner
DONNA
Last name - owner
FLEMING
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
7416458690
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2019-09-03
First name - owner
DONNA
Last name - owner
FLEMING
Title - owner
GOVERNING BODY - MEMBER
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
7416458690
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-09-03
First name - owner
DONNA
Last name - owner
FLEMING
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
9032694740
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-11-24
Address line 1 - owner
2600 NOSTRAND AVE
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112104601
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
Y
Other type text - owner
ACCOUNTING FIRM
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
9133161201
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2005-07-01
First name - owner
CHARLES-EDOUARD
Last name - owner
GROS
Percentage ownership
50
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
9133161201
Type - owner
I
Role code - owner
38
Role text - owner
GENERAL PARTNERSHIP INTEREST
Association date - owner
2005-07-01
First name - owner
CHARLES-EDOUARD
Last name - owner
GROS
Title - owner
MANAGING MEMBER
Percentage ownership
50
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
9133161201
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2005-07-01
First name - owner
CHARLES-EDOUARD
Last name - owner
GROS
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
9234451600
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2019-10-30
Organization name - owner
GREYSTONE FUNDING COMPANY LLC
Address line 1 - owner
419 BELLE AIR LN
City - owner
WARRENTON
State - owner
VA
Zip code - owner
201864368
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
Y
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
9436664026
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2005-07-01
First name - owner
BARUCH
Last name - owner
KLEIN
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
9436664026
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2005-07-01
First name - owner
BARUCH
Last name - owner
KLEIN
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
9638679236
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-09-01
First name - owner
AVROHOM
Last name - owner
VINITSKY
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
9638679236
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2019-09-01
First name - owner
AVROHOM
Last name - owner
VINITSKY
Title - owner
GOVERNING BODY MEMBER
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
9638679236
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-09-01
First name - owner
AVROHOM
Last name - owner
VINITSKY

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