Public record

CMS Skilled Nursing Facility All Owners

Associate id: 4981077310 · 37 matching records

Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
0345514071
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-02-01
First name - owner
NISANEL
Middle name - owner
YAAKOV
Last name - owner
SILVERBERG
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
0345514071
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
First name - owner
NISANEL
Middle name - owner
YAAKOV
Last name - owner
SILVERBERG
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
0345640140
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-02-01
Organization name - owner
PEACE CAPITAL HOLDINGS LLC
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
Percentage ownership
90.2
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
0345640140
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
Organization name - owner
PEACE CAPITAL HOLDINGS LLC
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
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
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
0941785190
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
Organization name - owner
PC MD5 PROPCO HOLDCO LLC
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
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
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
1850821695
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-02-01
First name - owner
DANIEL
Last name - owner
STERNBUCH
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
1850821695
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-02-01
First name - owner
DANIEL
Last name - owner
STERNBUCH
Percentage ownership
4.9
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
1850876004
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
Organization name - owner
HYATTSVILLE MD PROPCO LLC
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
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
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
2264933340
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
Organization name - owner
ADESSE MD PEACE MD5 PROPCO HOLDCO LLC
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
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
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
2961903042
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-02-01
First name - owner
MELISSA
Last name - owner
MANSFIELD
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
2961903042
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
First name - owner
MELISSA
Last name - owner
MANSFIELD
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
4082115167
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
Organization name - owner
ADESSE MD5 PROPCO HOLDCO LLC
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
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
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
5496285231
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-02-01
First name - owner
JACOB
Last name - owner
KLUGMAN
Percentage ownership
4.9
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
5890168223
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-02-01
Organization name - owner
PC MD5 TOPCO LLC
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
Percentage ownership
90.2
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
5890168223
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
Organization name - owner
PC MD5 TOPCO LLC
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
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
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
5991104671
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-02-01
Organization name - owner
SMS 2021 TRUST
Address line 1 - owner
760 ALBERT AVE
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087015413
Percentage ownership
85.78
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
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
5991104671
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
Organization name - owner
SMS 2021 TRUST
Address line 1 - owner
760 ALBERT AVE
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087015413
Corporation - owner
N
Llc - owner
N
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
Y
Other type - owner
N
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
5991206070
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
Organization name - owner
ADESSE HOLDINGS LLC
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
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
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
6406241207
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
Organization name - owner
HC FAMILY TRUST
Doing business as name - owner
HC FAMILY TR
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
6406331644
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-03-13
First name - owner
BETTY
Last name - owner
CHUNG
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
6406331644
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-13
First name - owner
BETTY
Last name - owner
CHUNG
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
6507367687
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-02-01
First name - owner
VICKIE
Middle name - owner
L
Last name - owner
COX
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
6507367687
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
First name - owner
VICKIE
Middle name - owner
L
Last name - owner
COX
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
6709167976
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-02-01
First name - owner
AARON
Last name - owner
SMITH
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
6709167976
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
First name - owner
AARON
Last name - owner
SMITH
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
6709259138
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-02-01
Organization name - owner
PC MD5 OPCO HOLDCO LLC
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
7911359856
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2023-02-01
First name - owner
AKIVA
Last name - owner
SCHONFELD
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
7911359856
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
First name - owner
AKIVA
Last name - owner
SCHONFELD
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
8022289099
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-02-01
First name - owner
ROBERT
Middle name - owner
P
Last name - owner
MCNEIL
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
8022289099
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
First name - owner
ROBERT
Middle name - owner
P
Last name - owner
MCNEIL
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
8426572306
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-02-01
Organization name - owner
DES CAPITAL LLC
Address line 1 - owner
1 FILLMORE AVE
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087015665
Percentage ownership
4.9
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
8527569607
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-01
Organization name - owner
MD 4 PROPCO HOLDCO LLC
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
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
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
9335663210
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-02-01
Organization name - owner
JRK INVESTMENTS LLC
Address line 1 - owner
226 LINCOLN ST
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087014842
Percentage ownership
4.9
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
9638440308
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-02-01
First name - owner
SHALOM
Last name - owner
STEIN
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
9638440308
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-02-01
First name - owner
SHALOM
Last name - owner
STEIN
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
9638440308
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2023-02-01
First name - owner
SHALOM
Last name - owner
STEIN
Enrollment id
O20230304000086
Associate id
4981077310
Organization name
COMPLETE CARE AT HYATTSVILLE LLC
Associate id - owner
9638440308
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-02-01
First name - owner
SHALOM
Last name - owner
STEIN
Percentage ownership
4.42

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