Public record

CMS Skilled Nursing Facility All Owners

Associate id: 3577718030 · 35 matching records

Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
1355842535
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-11-30
Address line 1 - owner
19 ENGLE ST
City - owner
TENAFLY
State - owner
NJ
Zip code - owner
076702812
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
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
1850362922
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-04-01
First name - owner
ANTHONY
Middle name - owner
J
Last name - owner
BARRAVECCHIO
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
1850362922
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2013-04-01
First name - owner
ANTHONY
Middle name - owner
J
Last name - owner
BARRAVECCHIO
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
2163947508
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2012-12-31
Organization name - owner
NEWPORT REAL ESTATE CAPITAL LLC
Doing business as name - owner
NEWPOINT REAL ESTATE CAPITAL
Address line 1 - owner
5800 TENNYSON PKWY
Address line 2 - owner
STE 200
City - owner
PLANO
State - owner
TX
Zip code - owner
750243820
Percentage ownership
100
Created for acquisition - owner
N
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
2365943545
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-08-19
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
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
2860596186
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-03-04
First name - owner
STEVE
Last name - owner
STAUM
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
2860596186
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-03-04
First name - owner
STEVE
Last name - owner
STAUM
Title - owner
ADMINISTRATOR
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
2860596186
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-03-04
First name - owner
STEVE
Last name - owner
STAUM
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
3173745007
Type - owner
I
Role code - owner
39
Role text - owner
LIMITED PARTNERSHIP INTEREST
Association date - owner
2023-11-30
First name - owner
CAROLINE
Middle name - owner
G
Last name - owner
BOEHM
Title - owner
MEMBER
Percentage ownership
4.95
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
3173745007
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-11-30
First name - owner
CAROLINE
Middle name - owner
G
Last name - owner
BOEHM
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
3173745007
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2023-11-30
First name - owner
CAROLINE
Middle name - owner
G
Last name - owner
BOEHM
Percentage ownership
4.95
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
4183125362
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-08-19
Doing business as name - owner
HEALTH CARE RESOURCES
Address line 1 - owner
12 ROSZEL RD
Address line 2 - owner
STE C102
City - owner
PRINCETON
State - owner
NJ
Zip code - owner
085406234
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
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
5092216275
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2012-12-31
Address line 1 - owner
521 PINE BROOK RD
City - owner
LINCOLN PARK
State - owner
NJ
Zip code - owner
070351801
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
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-08-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2019-08-01
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
MEMBER- GOVERNING BODY
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-08-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
6800397084
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-08-19
Address line 1 - owner
852 FRANKLIN AVE
Address line 2 - owner
STE 403
City - owner
FRANKLIN LAKES
State - owner
NJ
Zip code - owner
074171334
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
PHARMACY CONSULTANT
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
6901307180
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2012-12-31
Address line 1 - owner
521 PINE BROOK RD
City - owner
LINCOLN PARK
State - owner
NJ
Zip code - owner
070351801
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
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
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
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
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
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
7719488998
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-11-30
Address line 1 - owner
499 PINE BROOK RD
City - owner
LINCOLN PARK
State - owner
NJ
Zip code - owner
070351804
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
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
7719496678
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-03-10
First name - owner
PATRICIA
Last name - owner
CHMURA- SAEZ
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
7719496678
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-03-10
First name - owner
PATRICIA
Last name - owner
CHMURA- SAEZ
Title - owner
MEMBER- GOVERNING BODY
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
7719496678
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-10
First name - owner
PATRICIA
Last name - owner
CHMURA- SAEZ
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK 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
2023-11-30
First name - owner
CHARLES-EDOUARD
Last name - owner
GROS
Title - owner
MEMBER
Percentage ownership
70.05
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
9133161201
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-11-30
First name - owner
CHARLES-EDOUARD
Last name - owner
GROS
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
9133161201
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2023-11-30
First name - owner
CHARLES-EDOUARD
Last name - owner
GROS
Percentage ownership
70.05
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
9436664026
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-01-01
First name - owner
BARUCH
Last name - owner
KLEIN
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
9436664026
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-01-01
First name - owner
BARUCH
Last name - owner
KLEIN
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
9537660717
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-11-30
Address line 1 - owner
499 PINE BROOK RD
City - owner
LINCOLN PARK
State - owner
NJ
Zip code - owner
070351804
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
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
9638679236
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-04-11
First name - owner
AVROHOM
Last name - owner
VINITSKY
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
9638679236
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2013-04-11
First name - owner
AVROHOM
Last name - owner
VINITSKY
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
9830338383
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2012-12-31
First name - owner
MIRIAM
Last name - owner
KLEIN
Title - owner
MEMBER
Percentage ownership
25
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
9830338383
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-11-30
First name - owner
MIRIAM
Last name - owner
KLEIN
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
9830338383
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2023-11-30
First name - owner
MIRIAM
Last name - owner
KLEIN
Percentage ownership
25

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