Public record

CMS Skilled Nursing Facility All Owners

Associate id: 1153543723 · 33 matching records

Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
0749797892
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-11-28
Address line 1 - owner
10400 ROOSEVELT BLVD
City - owner
PHILADELPHIA
State - owner
PA
Zip code - owner
191163905
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
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
1557878600
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-11-03
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
3173745007
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-11-28
First name - owner
CAROLINE
Middle name - owner
G
Last name - owner
BOEHM
Title - owner
MEMBER
Percentage ownership
14.29
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
3173745007
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-11-28
First name - owner
CAROLINE
Middle name - owner
G
Last name - owner
BOEHM
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
3173745007
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2023-11-28
First name - owner
CAROLINE
Middle name - owner
G
Last name - owner
BOEHM
Percentage ownership
14.29
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
3577070622
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-09
Address line 1 - owner
401 HACKENSACK AVE
Address line 2 - owner
STE 603
City - owner
HACKENSACK
State - owner
NJ
Zip code - owner
076016444
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
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
3971511783
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-31
First name - owner
VINOD
Middle name - owner
KUMAR
Last name - owner
KATARIA
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
3971511783
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-01-31
First name - owner
VINOD
Middle name - owner
KUMAR
Last name - owner
KATARIA
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
4486161536
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-09
Address line 1 - owner
300 W SOMERDALE RD
Address line 2 - owner
STE 1A
City - owner
VOORHEES
State - owner
NJ
Zip code - owner
080432266
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
Y
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
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
5991210585
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-11-03
First name - owner
DANIEL
Last name - owner
ALLEN
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
5991210585
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2014-11-03
First name - owner
DANIEL
Last name - owner
ALLEN
Title - owner
MEMBER- GOVERNING BODY
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
5991210585
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-11-03
First name - owner
DANIEL
Last name - owner
ALLEN
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
MEMBER- GOVERNING BODY
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
6204343353
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-11-03
Address line 1 - owner
470 MANOR AVE
City - owner
DOWNINGTOWN
State - owner
PA
Zip code - owner
193352545
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
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
6608023759
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-06-20
First name - owner
ROHAN
Last name - owner
BLACKWOOD
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
6608023759
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2022-06-20
First name - owner
ROHAN
Last name - owner
BLACKWOOD
Title - owner
MEMBER- GOVERNING BODYSNF
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
6608023759
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-06-20
First name - owner
ROHAN
Last name - owner
BLACKWOOD
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
6800301490
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-08-08
First name - owner
EDWARD
Last name - owner
PETROSKI
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
6800301490
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2018-08-08
First name - owner
EDWARD
Last name - owner
PETROSKI
Title - owner
MEMBER- GOVERNING BODY
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
6800301490
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-08-08
First name - owner
EDWARD
Last name - owner
PETROSKI
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
7012424161
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-11-03
Address line 1 - owner
470 MANOR AVE
City - owner
DOWNINGTOWN
State - owner
PA
Zip code - owner
193352545
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
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
8921515073
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-11-28
Address line 1 - owner
460 BAYVIEW AVE
City - owner
INWOOD
State - owner
NY
Zip code - owner
110961702
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
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
9133161201
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-11-28
First name - owner
CHARLES-EDOUARD
Last name - owner
GROS
Title - owner
MEMBER
Percentage ownership
85.71
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
9133161201
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-11-28
First name - owner
CHARLES-EDOUARD
Last name - owner
GROS
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
9133161201
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2023-11-28
First name - owner
CHARLES-EDOUARD
Last name - owner
GROS
Percentage ownership
85.71
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
9234451600
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2020-11-19
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
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
9436664026
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-11-03
First name - owner
BARUCH
Last name - owner
KLEIN
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
9436664026
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-11-03
First name - owner
BARUCH
Last name - owner
KLEIN
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
9739696881
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-04-22
First name - owner
BRANDIE
Last name - owner
MARINO
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
9739696881
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-04-22
First name - owner
BRANDIE
Last name - owner
MARINO
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
9830606987
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-11-28
Address line 1 - owner
460 BAYVIEW AVE
City - owner
INWOOD
State - owner
NY
Zip code - owner
110961702
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

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