Public record

CMS Skilled Nursing Facility All Owners

Associate id: 8426966557 · 9 matching records

Enrollment id
O20031007000025
Associate id
8426966557
Organization name
BROOKHAVEN HEALTH CARE FACILITY LLC
Associate id - owner
1456730761
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
SUSAN
Last name - owner
GRIGG
Enrollment id
O20031007000025
Associate id
8426966557
Organization name
BROOKHAVEN HEALTH CARE FACILITY LLC
Associate id - owner
1456730761
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-01
First name - owner
SUSAN
Last name - owner
GRIGG
Enrollment id
O20031007000025
Associate id
8426966557
Organization name
BROOKHAVEN HEALTH CARE FACILITY LLC
Associate id - owner
2860760626
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-23
Organization name - owner
VESTRA SPV1 LLC
Address line 1 - owner
230 HILTON AVE
Address line 2 - owner
STE 4
City - owner
HEMPSTEAD
State - owner
NY
Zip code - owner
115508116
Percentage ownership
50
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
Parent company - owner
Y
Owned by another org or ind - owner
Y
Enrollment id
O20031007000025
Associate id
8426966557
Organization name
BROOKHAVEN HEALTH CARE FACILITY LLC
Associate id - owner
4587017058
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
RALPH
Last name - owner
ROSSO
Title - owner
CFO
Percentage ownership
100
Enrollment id
O20031007000025
Associate id
8426966557
Organization name
BROOKHAVEN HEALTH CARE FACILITY LLC
Associate id - owner
4880606607
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
TOM
Last name - owner
PHAN
Title - owner
QUALITY ASSURANCE
Percentage ownership
100
Enrollment id
O20031007000025
Associate id
8426966557
Organization name
BROOKHAVEN HEALTH CARE FACILITY LLC
Associate id - owner
5395015267
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-23
First name - owner
ORLY
Last name - owner
LIEBERMAN
Percentage ownership
100
Enrollment id
O20031007000025
Associate id
8426966557
Organization name
BROOKHAVEN HEALTH CARE FACILITY LLC
Associate id - owner
5395797765
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-23
First name - owner
EDWARD
Middle name - owner
OSCAR
Last name - owner
FARBENBLUM
Percentage ownership
100
Enrollment id
O20031007000025
Associate id
8426966557
Organization name
BROOKHAVEN HEALTH CARE FACILITY LLC
Associate id - owner
5395797765
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-12-23
First name - owner
EDWARD
Middle name - owner
OSCAR
Last name - owner
FARBENBLUM
Title - owner
MANAGING MEMBER
Percentage ownership
99.5
Enrollment id
O20031007000025
Associate id
8426966557
Organization name
BROOKHAVEN HEALTH CARE FACILITY LLC
Associate id - owner
8123396983
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-23
Organization name - owner
VESTRA SPV2 LLC
Address line 1 - owner
230 HILTON AVE
Address line 2 - owner
STE 4
City - owner
HEMPSTEAD
State - owner
NY
Zip code - owner
115508116
Percentage ownership
50
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
Parent company - owner
Y
Owned by another org or ind - owner
Y

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