Public record

CMS Skilled Nursing Facility All Owners

Associate id: 7113927765 · 28 matching records

Enrollment id
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
0941774129
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-03-13
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 204
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016206
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
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
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
1254847783
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-01-01
First name - owner
HEIDI
Last name - owner
HENDRIX
Enrollment id
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
1658753389
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-06-01
First name - owner
ZEV
Last name - owner
LATI
Enrollment id
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
1658753389
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-06-01
First name - owner
ZEV
Last name - owner
LATI
Enrollment id
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
1951556109
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-01-01
First name - owner
AHARON
Last name - owner
LANTZITSKY
Enrollment id
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
1951888965
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2017-03-15
Enrollment id
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
2769956945
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-03-13
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 204
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016206
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
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
2860966041
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-03-13
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 204
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016206
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
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
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
3375543929
Type - owner
I
Role code - owner
38
Role text - owner
GENERAL PARTNERSHIP INTEREST
Association date - owner
2021-01-01
First name - owner
SOL
Last name - owner
BLUMENFELD
Percentage ownership
2.5
Enrollment id
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
3375705957
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-01-01
First name - owner
NATHAN
Last name - owner
GOLDMAN
Enrollment id
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
3779057955
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-03-13
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 204
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016206
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
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
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
3779060785
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-11-03
First name - owner
YONATAN
Last name - owner
BALIN
Enrollment id
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
3779060785
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-11-03
First name - owner
YONATAN
Last name - owner
BALIN
Enrollment id
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
4082742127
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2000-01-01
First name - owner
AMIR
Last name - owner
ABRAMCHIK
Enrollment id
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
4587138763
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-03-13
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 204
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016206
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
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
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
4688148869
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-03-13
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 204
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016206
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
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
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
5496229676
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-03-13
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 204
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016206
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
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
5597239772
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-03-13
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 204
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016206
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
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
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
5890770077
Type - owner
I
Role code - owner
38
Role text - owner
GENERAL PARTNERSHIP INTEREST
Association date - owner
2007-02-01
First name - owner
LEO
Last name - owner
LERNER
Title - owner
MEMBER
Percentage ownership
2.5
Enrollment id
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
6305310582
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-03-13
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 204
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016206
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
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
6406333400
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-10-27
Address line 1 - owner
4770 WHITE PLAINS RD
City - owner
BRONX
State - owner
NY
Zip code - owner
10470
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
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
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
6608785985
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-12-18
First name - owner
KENNETH
Last name - owner
ROZENBERG
Title - owner
MEMBER
Percentage ownership
95
Enrollment id
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
7214401496
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-03-13
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 204
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016206
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
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
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
7315424322
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-10-27
Address line 1 - owner
2600 NOSTRAND AVE
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112104601
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
N
Other type - owner
N
Enrollment id
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
8123592300
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-03-13
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 204
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016206
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
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
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
8224515234
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-11-11
Address line 1 - owner
4770 WHITE PLAINS RD
City - owner
BRONX
State - owner
NY
Zip code - owner
10470
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
Y
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
N
Other type - owner
N
Enrollment id
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
9032683214
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-03-13
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 204
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016206
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
O20070104000073
Associate id
7113927765
Organization name
PROSPECT PARK OPERATING, LLC
Associate id - owner
9133606148
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2000-01-01
Address line 1 - owner
4770 WHITE PLAINS RD
City - owner
BRONX
State - owner
NY
Zip code - owner
10470
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
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

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