Public record

CMS Skilled Nursing Facility All Owners

Associate id: 4082068895 · 13 matching records

Enrollment id
O20230928000040
Associate id
4082068895
Organization name
MULBERRY AT WAVERLY LLC
Associate id - owner
0244685212
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-01
Organization name - owner
SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC
Address line 1 - owner
1218 BROADWAY
City - owner
HEWLETT
State - owner
NY
Zip code - owner
11557
Percentage ownership
33
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
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20230928000040
Associate id
4082068895
Organization name
MULBERRY AT WAVERLY LLC
Associate id - owner
2163877135
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-02
Organization name - owner
COPPER NE TRUST
Address line 1 - owner
951 NE 176TH ST
City - owner
MIAMI
State - owner
FL
Zip code - owner
331622144
Percentage ownership
16
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
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
TRUST
Enrollment id
O20230928000040
Associate id
4082068895
Organization name
MULBERRY AT WAVERLY LLC
Associate id - owner
3173978145
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-02
Organization name - owner
NE 11 HOLDINGS OPCO LLC
Address line 1 - owner
265 E MERRICK RD
Address line 2 - owner
STE 205
City - owner
VALLEY STREAM
State - owner
NY
Zip code - owner
115806004
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
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20230928000040
Associate id
4082068895
Organization name
MULBERRY AT WAVERLY LLC
Associate id - owner
3779946934
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-02
First name - owner
DAVID
Last name - owner
WEISZ
Percentage ownership
33
Enrollment id
O20230928000040
Associate id
4082068895
Organization name
MULBERRY AT WAVERLY LLC
Associate id - owner
3971958943
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-02
Organization name - owner
SILVER NE TRUST
Address line 1 - owner
951 NE 176TH ST
City - owner
MIAMI
State - owner
FL
Zip code - owner
331622144
Percentage ownership
13
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
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
TRUST
Enrollment id
O20230928000040
Associate id
4082068895
Organization name
MULBERRY AT WAVERLY LLC
Associate id - owner
4082069059
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-02
Organization name - owner
BRASS NE TRUST
Address line 1 - owner
4700 N 36TH ST
City - owner
HOLLYWOOD
State - owner
FL
Zip code - owner
330212220
Percentage ownership
16.5
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
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
TRUST
Enrollment id
O20230928000040
Associate id
4082068895
Organization name
MULBERRY AT WAVERLY LLC
Associate id - owner
5698120665
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-02
Organization name - owner
TULIP INVESTMENTS NE LLC
Address line 1 - owner
265 E MERRICK RD
Address line 2 - owner
STE 205
City - owner
VALLEY STREAM
State - owner
NY
Zip code - owner
115806004
Percentage ownership
33
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
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20230928000040
Associate id
4082068895
Organization name
MULBERRY AT WAVERLY LLC
Associate id - owner
5890140867
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-02
Organization name - owner
BSD BEIS HEALTH TRUST
Address line 1 - owner
620 NE 175TH ST
City - owner
N MIAMI BEACH
State - owner
FL
Zip code - owner
331622028
Percentage ownership
16.5
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
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
TRUST
Enrollment id
O20230928000040
Associate id
4082068895
Organization name
MULBERRY AT WAVERLY LLC
Associate id - owner
6800241878
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-02
Organization name - owner
DOURO VALLEY INVESTMENT, LLC
Address line 1 - owner
1218 BROADWAY
City - owner
HEWLETT
State - owner
NY
Zip code - owner
11557
Percentage ownership
33
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
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20230928000040
Associate id
4082068895
Organization name
MULBERRY AT WAVERLY LLC
Associate id - owner
7012293475
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-08-02
First name - owner
ARI
Last name - owner
SILBERSTEIN
Title - owner
AUTHORIZED OFFICIAL
Enrollment id
O20230928000040
Associate id
4082068895
Organization name
MULBERRY AT WAVERLY LLC
Associate id - owner
7517312580
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-02
Organization name - owner
NE SNF HOLDINGS LLC
Address line 1 - owner
1969 RUTGERS UNIVERSITY
Address line 2 - owner
UNIT B
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087014538
Percentage ownership
33
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
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20230928000040
Associate id
4082068895
Organization name
MULBERRY AT WAVERLY LLC
Associate id - owner
8527413590
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-02
Organization name - owner
GOLD NE TRUST
Address line 1 - owner
951 NE 176TH ST
City - owner
MIAMI
State - owner
FL
Zip code - owner
331622144
Percentage ownership
13
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
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
TRUST
Enrollment id
O20230928000040
Associate id
4082068895
Organization name
MULBERRY AT WAVERLY LLC
Associate id - owner
9032568076
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-08-02
First name - owner
LINDSEY
Last name - owner
PIHLGREN
Title - owner
FACILITY ADMINISTRATOR

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