Public record

CMS Skilled Nursing Facility All Owners

Associate id: 6901714609 · 8 matching records

Enrollment id: O20030127000000
Associate id: 6901714609
Organization name: NEW SURFSIDE NURSING HOME LLC
Associate id - owner: 0143280446
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2023-08-01
First name - owner: POLINA
Last name - owner: KHANINA

Enrollment id: O20030127000000
Associate id: 6901714609
Organization name: NEW SURFSIDE NURSING HOME LLC
Associate id - owner: 0143280446
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-08-01
First name - owner: POLINA
Last name - owner: KHANINA

Enrollment id: O20030127000000
Associate id: 6901714609
Organization name: NEW SURFSIDE NURSING HOME LLC
Associate id - owner: 0749704534
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2021-02-15
First name - owner: DAVID
Last name - owner: BEROV

Enrollment id: O20030127000000
Associate id: 6901714609
Organization name: NEW SURFSIDE NURSING HOME LLC
Associate id - owner: 0749704534
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2021-02-15
First name - owner: DAVID
Last name - owner: BEROV

Enrollment id: O20030127000000
Associate id: 6901714609
Organization name: NEW SURFSIDE NURSING HOME LLC
Associate id - owner: 7810804515
Type - owner: I
Role code - owner: 34
Role text - owner: 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner: 2002-12-31
First name - owner: BENJAMIN
Last name - owner: LANDA
Percentage ownership: 50

Enrollment id: O20030127000000
Associate id: 6901714609
Organization name: NEW SURFSIDE NURSING HOME LLC
Associate id - owner: 7810804515
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2002-12-31
First name - owner: BENJAMIN
Last name - owner: LANDA

Enrollment id: O20030127000000
Associate id: 6901714609
Organization name: NEW SURFSIDE NURSING HOME LLC
Associate id - owner: 7810804515
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2002-12-01
First name - owner: BENJAMIN
Last name - owner: LANDA

Enrollment id: O20030127000000
Associate id: 6901714609
Organization name: NEW SURFSIDE NURSING HOME LLC
Associate id - owner: 7810805512
Type - owner: I
Role code - owner: 34
Role text - owner: 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner: 2002-12-31
First name - owner: ROBERT
Last name - owner: BLEIER
Percentage ownership: 50

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