Public record

CMS Skilled Nursing Facility All Owners

Associate id: 8022488485 · 5 matching records

Enrollment id
O20221228002641
Associate id
8022488485
Organization name
LAKELAND OPERATOR LLC
Associate id - owner
0042676033
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-09-29
Organization name - owner
LAKELAND OPERATOR HOLDCO, LLC
Address line 1 - owner
15 AMERICA AVE
Address line 2 - owner
UNIT 303
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087014582
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
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
O20221228002641
Associate id
8022488485
Organization name
LAKELAND OPERATOR LLC
Associate id - owner
0648588533
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-09-29
First name - owner
DOV
Last name - owner
GREEN
Title - owner
MANAGER
Enrollment id
O20221228002641
Associate id
8022488485
Organization name
LAKELAND OPERATOR LLC
Associate id - owner
0648588533
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-09-29
First name - owner
DOV
Last name - owner
GREEN
Title - owner
CEO
Enrollment id
O20221228002641
Associate id
8022488485
Organization name
LAKELAND OPERATOR LLC
Associate id - owner
3476541061
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-09-29
First name - owner
SAMUEL
Last name - owner
STERN
Title - owner
CFO
Enrollment id
O20221228002641
Associate id
8022488485
Organization name
LAKELAND OPERATOR LLC
Associate id - owner
4385012301
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-09-29
First name - owner
ABRAHAM
Last name - owner
MIARA
Title - owner
ADMINISTRATOR

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