Public record

CMS Skilled Nursing Facility All Owners

Associate id: 4981078326 · 34 matching records

Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
0749653830
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-01
Organization name - owner
CUTLASS OP HOLDINGS LLC
Address line 1 - owner
1038 E 23RD ST
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112103638
Percentage ownership
45
Created for acquisition - owner
Y
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
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
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
0840649422
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-01
Organization name - owner
SRI FAMILY IRREVOCABLE TRUST
Address line 1 - owner
1528 E 31ST ST
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
11234
Percentage ownership
11
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
0840649422
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2022-08-01
Organization name - owner
SRI FAMILY IRREVOCABLE TRUST
Address line 1 - owner
1528 E 31ST ST
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
11234
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
Y
Other type - owner
N
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
1658744743
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-31
Organization name - owner
ARDJ LLC
Address line 1 - owner
1230 E 23RD ST
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
11210
Percentage ownership
33.33
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
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
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
1850828062
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-08-01
Organization name - owner
INDEPENDENCE ARKANSAS HCM LLC
Address line 1 - owner
3019 AVENUE J
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112103837
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
Y
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
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
1850828062
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-01-16
Organization name - owner
INDEPENDENCE ARKANSAS HCM LLC
Address line 1 - owner
3019 AVENUE J
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112103837
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
Y
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
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
2163731647
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-01
First name - owner
STEVEN
Last name - owner
ISAAC
Percentage ownership
11
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
2163731647
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-08-31
First name - owner
STEVEN
Last name - owner
ISAAC
Title - owner
COO
Percentage ownership
22
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
2163731647
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-08-01
First name - owner
STEVEN
Last name - owner
ISAAC
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
2365976404
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-08-01
Organization name - owner
CROSSETT REALTY HOLDINGS LLC
Address line 1 - owner
3019 AVENUE J
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112103837
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
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
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
2365976404
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-08-01
Organization name - owner
CROSSETT REALTY HOLDINGS LLC
Address line 1 - owner
3019 AVENUE J
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112103837
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
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
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
4284039470
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-01
First name - owner
DOV
Middle name - owner
B
Last name - owner
BRAUN
Percentage ownership
22.5
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
4284039470
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-08-31
First name - owner
DOV
Middle name - owner
B
Last name - owner
BRAUN
Title - owner
CEO
Percentage ownership
45
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
4284039470
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2022-08-01
First name - owner
DOV
Middle name - owner
B
Last name - owner
BRAUN
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
5496104077
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-01
Organization name - owner
CUTLASS OP FAMILY TRUST II
Address line 1 - owner
1038 E 23RD ST
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
11210
Percentage ownership
22.5
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
6709259054
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-01
Organization name - owner
CUTLASS OP HOLDINGS LLC
Address line 1 - owner
1038 E 23RD ST
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
11210
Percentage ownership
45
Created for acquisition - owner
Y
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
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
6800320953
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-08-01
First name - owner
RIKI
Last name - owner
PORTNOY
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
6800320953
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-08-01
First name - owner
RIKI
Last name - owner
PORTNOY
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
6901221209
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-01
First name - owner
DAVID
Last name - owner
JAKOBOWITCH
Percentage ownership
33.33
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
6901221209
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-08-31
First name - owner
DAVID
Last name - owner
JAKOBOWITCH
Title - owner
EVP
Percentage ownership
33
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
6901221209
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-08-01
First name - owner
DAVID
Last name - owner
JAKOBOWITCH
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
6901221209
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-08-01
First name - owner
DAVID
Last name - owner
JAKOBOWITCH
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
6901221209
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-01
First name - owner
DAVID
Last name - owner
JAKOBOWITCH
Percentage ownership
33
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
7911335260
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-02-17
First name - owner
EMERALD
Last name - owner
BURRIS
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
7911335260
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-17
First name - owner
EMERALD
Last name - owner
BURRIS
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
8123370186
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-08-01
Organization name - owner
SIGNET HEALTHCARE CONSULTANTS LLC
Address line 1 - owner
150 OBERLIN AVE N
Address line 2 - owner
STE 6
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087014535
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
Y
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
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
8123370186
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-05-13
Organization name - owner
SIGNET HEALTHCARE CONSULTANTS LLC
Address line 1 - owner
150 OBERLIN AVE N
Address line 2 - owner
STE 6
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087014535
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
Y
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
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
8123551892
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-01
First name - owner
AVIVA
Last name - owner
BRAUN
Percentage ownership
22.5
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
8123551892
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2022-08-01
First name - owner
AVIVA
Last name - owner
BRAUN
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
8224433412
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-01
Organization name - owner
SRI NIGHTINGALE LLC
Address line 1 - owner
1372 E 29TH ST
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112105315
Percentage ownership
22
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
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
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
8224433412
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-01
Organization name - owner
SRI NIGHTINGALE LLC
Address line 1 - owner
1372 E 29TH ST
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112105315
Percentage ownership
22
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
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
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
9032568613
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-01
Organization name - owner
CUTLASS OP FAMILY TRUST I
Address line 1 - owner
1038 E 23RD ST
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
11210
Percentage ownership
22.5
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
9537194980
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-08-01
First name - owner
TIM
Middle name - owner
M
Last name - owner
SIMON
Enrollment id
O20230324002624
Associate id
4981078326
Organization name
CROSSETT HEALTHCARE LLC
Associate id - owner
9537194980
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-08-01
First name - owner
TIM
Middle name - owner
M
Last name - owner
SIMON

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