Public record

CMS Skilled Nursing Facility All Owners

Associate id: 6608267539 · 19 matching records

Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
0840714812
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-10-01
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
2062760135
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-10-29
First name - owner
SOLOMON
Last name - owner
KAZARNOVSKY
Title - owner
MANAGING PARTNER
Percentage ownership
50
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
2062760135
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-10-29
First name - owner
SOLOMON
Last name - owner
KAZARNOVSKY
Title - owner
MANAGING PARTNER
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
2062760135
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-10-01
First name - owner
SOLOMON
Last name - owner
KAZARNOVSKY
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
2062760135
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-10-01
First name - owner
SOLOMON
Last name - owner
KAZARNOVSKY
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
3779007729
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-10-09
First name - owner
ELIEZER
Last name - owner
GOLDISH
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
3779007729
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-10-09
First name - owner
ELIEZER
Last name - owner
GOLDISH
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
3779007729
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-10-09
First name - owner
ELIEZER
Last name - owner
GOLDISH
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
4688198633
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-01-27
First name - owner
ADAM
Last name - owner
CUSNER
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
4688198633
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-27
First name - owner
ADAM
Last name - owner
CUSNER
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
4688198633
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-27
First name - owner
ADAM
Last name - owner
CUSNER
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
6305196536
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-01-01
First name - owner
JEFFREY
Last name - owner
DEGYANSKY
Title - owner
CHIEF OPERATING OFFICER
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
6305196536
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-10-01
First name - owner
JEFFREY
Last name - owner
DEGYANSKY
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
6305196536
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-10-01
First name - owner
JEFFREY
Last name - owner
DEGYANSKY
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
7517215684
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-10-29
First name - owner
ABBA
Last name - owner
STEIN
Title - owner
MANAGING PARTNER
Percentage ownership
50
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
7517215684
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-10-29
First name - owner
ABBA
Last name - owner
STEIN
Title - owner
MANAGING PARTNER
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
7517215684
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-10-01
First name - owner
ABBA
Last name - owner
STEIN
Title - owner
MANAGER
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
7517215684
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-10-01
First name - owner
ABBA
Last name - owner
STEIN
Enrollment id
O20220103000473
Associate id
6608267539
Organization name
EAST PARK OPERATIONS LLC
Associate id - owner
9931623907
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-27

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list