Public record

CMS Skilled Nursing Facility All Owners

Associate id: 8123307345 · 35 matching records

Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
0143542514
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-06-14
First name - owner
AVI
Last name - owner
PHILIPSON
Percentage ownership
20.83
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
0143542514
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-06-14
First name - owner
AVI
Last name - owner
PHILIPSON
Title - owner
MEMBER
Percentage ownership
20.83
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
1557853272
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-07-22
First name - owner
TAKEENA
Last name - owner
ROBERTS
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
1557853272
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-07-22
First name - owner
TAKEENA
Last name - owner
ROBERTS
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
2365934080
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-10-03
First name - owner
MARY GRACE
Last name - owner
ASUFRIN
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
2365934080
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-10-03
First name - owner
MARY GRACE
Last name - owner
ASUFRIN
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
2466944186
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-08-19
First name - owner
TYLER
Last name - owner
BOGEN
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
2466944186
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-08-19
First name - owner
TYLER
Last name - owner
BOGEN
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
2567697055
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-01-23
First name - owner
KHASHAYAR
Last name - owner
YAZDANBAKHSH
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
2567697055
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2020-01-23
First name - owner
KHASHAYAR
Last name - owner
YAZDANBAKHSH
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
2668964388
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-09-21
Organization name - owner
TCPRNC REAL ESTATE LLC
Address line 1 - owner
1000 GATES AVE
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112216295
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
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
3577055292
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-01-01
Address line 1 - owner
22 PLEASANT RIDGE RD
City - owner
SPRING VALLEY
State - owner
NY
Zip code - owner
109771609
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
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
4183782469
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-09-21
First name - owner
MONICA
Last name - owner
TERRANO
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
4284126905
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-10-01
First name - owner
JULISSA
Last name - owner
RODRIGUEZ
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
4284126905
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-10-01
First name - owner
JULISSA
Last name - owner
RODRIGUEZ
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
4284896994
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-04-16
First name - owner
RANDOLF
Last name - owner
PALMAIRA
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
4284896994
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-04-16
First name - owner
RANDOLF
Last name - owner
PALMAIRA
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
4981124914
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-09-21
Organization name - owner
CITADEL CONSULTING GROUP
Address line 1 - owner
1000 GATES AVE
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112216295
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
Y
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
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
6901185677
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-06-14
First name - owner
RAQUEL
Last name - owner
PHILIPSON
Percentage ownership
20.83
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
6901185677
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-06-14
First name - owner
RAQUEL
Last name - owner
PHILIPSON
Title - owner
MEMBER
Percentage ownership
20.83
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
9032360649
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-06-14
First name - owner
LEOPOLD
Last name - owner
FRIEDMAN
Percentage ownership
58.34
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
9032360649
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-06-14
First name - owner
LEOPOLD
Last name - owner
FRIEDMAN
Title - owner
MANAGER / MEMBER
Percentage ownership
58.34
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
9032360649
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2016-09-21
First name - owner
LEOPOLD
Last name - owner
FRIEDMAN
Enrollment id
O20161110002142
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
9032360649
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-01-01
First name - owner
LEOPOLD
Last name - owner
FRIEDMAN
Enrollment id
O20201022001175
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
0143542514
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-09-20
First name - owner
AVI
Last name - owner
PHILIPSON
Percentage ownership
12.5
Enrollment id
O20201022001175
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
0143542514
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-09-20
First name - owner
AVI
Last name - owner
PHILIPSON
Title - owner
MANAGER/MEMBER
Percentage ownership
12.5
Enrollment id
O20201022001175
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
0143542514
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-09-20
First name - owner
AVI
Last name - owner
PHILIPSON
Title - owner
MANAGER
Percentage ownership
12.5
Enrollment id
O20201022001175
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
4183782469
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-09-20
First name - owner
MONICA
Last name - owner
TERRANO
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20201022001175
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
6901185677
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-09-20
First name - owner
RAQUEL
Last name - owner
PHILIPSON
Percentage ownership
12.5
Enrollment id
O20201022001175
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
6901185677
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-09-20
First name - owner
RAQUEL
Last name - owner
PHILIPSON
Title - owner
MEMBER
Percentage ownership
12.5
Enrollment id
O20201022001175
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
7113206335
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-09-21
Organization name - owner
BESCAR LLC
Address line 1 - owner
240 VIOLA RD
City - owner
MONSEY
State - owner
NY
Zip code - owner
109521731
Percentage ownership
10
Created for acquisition - owner
Y
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
Enrollment id
O20201022001175
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
8729081344
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-09-20
First name - owner
BERNARD
Last name - owner
FUCHS
Percentage ownership
3
Enrollment id
O20201022001175
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
9032360649
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-09-20
First name - owner
LEOPOLD
Last name - owner
FRIEDMAN
Percentage ownership
50
Enrollment id
O20201022001175
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
9032360649
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-09-20
First name - owner
LEOPOLD
Last name - owner
FRIEDMAN
Title - owner
MANAGER/MEMBER
Percentage ownership
50
Enrollment id
O20201022001175
Associate id
8123307345
Organization name
TCPRNC, LLC
Associate id - owner
9032360649
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-09-20
First name - owner
LEOPOLD
Last name - owner
FRIEDMAN
Title - owner
CHIEF OPERATING OFFICER
Percentage ownership
50

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