Public record

CMS Skilled Nursing Facility All Owners

Associate id: 5496180333 · 15 matching records

Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
2466744115
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-10-01
First name - owner
DAVID
Last name - owner
HERSKOWITZ
Title - owner
MANAGER
Percentage ownership
30
Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
2466744115
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-10-01
First name - owner
DAVID
Last name - owner
HERSKOWITZ
Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
2466744115
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-10-01
First name - owner
DAVID
Last name - owner
HERSKOWITZ
Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
2466744115
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-10-01
First name - owner
DAVID
Last name - owner
HERSKOWITZ
Percentage ownership
30
Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
3870735293
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-11-01
First name - owner
PALLAKI
Middle name - owner
D
Last name - owner
RAVI
Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
3870735293
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2020-11-01
First name - owner
PALLAKI
Middle name - owner
D
Last name - owner
RAVI
Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
3870854938
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-10-01
First name - owner
ISAAC
Last name - owner
MOSKOWITZ
Percentage ownership
34
Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
3870854938
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-07-21
First name - owner
ISAAC
Last name - owner
MOSKOWITZ
Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
4789904046
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-10-01
First name - owner
JEFFREY
Last name - owner
AREM
Percentage ownership
34
Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
4981102704
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-10-19
First name - owner
ANGELINA
Last name - owner
HURLEY
Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
4981102704
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-10-19
First name - owner
ANGELINA
Last name - owner
HURLEY
Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
6406275445
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2019-10-01
Organization name - owner
PHELPS KY HOLDCO LLC
Address line 1 - owner
2071 FLATBUSH AVE
Address line 2 - owner
STE 12
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112344340
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
Y
Owned by another org or ind - owner
N
Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
6800394628
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2019-10-01
Address line 1 - owner
100 MERRICK RD
City - owner
ROCKVILLE CENTRE
State - owner
NY
Zip code - owner
115704800
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
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
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
8628311859
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-10-01
First name - owner
AARON
Last name - owner
KASPER
Percentage ownership
2
Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
9436657251
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2019-10-01
Address line 1 - owner
100 MERRICK RD
City - owner
ROCKVILLE CENTRE
State - owner
NY
Zip code - owner
115704800
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
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

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