Public record

CMS Skilled Nursing Facility All Owners

Associate id: 8628477452 · 6 matching records

Enrollment id
O20210528000334
Associate id
8628477452
Organization name
PEARL OF HILLSIDE LLC
Associate id - owner
0547684219
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-05-01
Organization name - owner
EZ HOLDCO LLC
Address line 1 - owner
4711 GOLF RD
Address line 2 - owner
STE 200
City - owner
SKOKIE
State - owner
IL
Zip code - owner
60076
Percentage ownership
58.5
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
Y
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
O20210528000334
Associate id
8628477452
Organization name
PEARL OF HILLSIDE LLC
Associate id - owner
6406158658
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-05-01
First name - owner
EITAN
Last name - owner
ZEFFREN
Percentage ownership
58.5
Enrollment id
O20210528000334
Associate id
8628477452
Organization name
PEARL OF HILLSIDE LLC
Associate id - owner
6406158658
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-05-01
First name - owner
EITAN
Last name - owner
ZEFFREN
Title - owner
MANAGER
Enrollment id
O20210528000334
Associate id
8628477452
Organization name
PEARL OF HILLSIDE LLC
Associate id - owner
6406158658
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-05-01
First name - owner
EITAN
Last name - owner
ZEFFREN
Title - owner
MANAGER OF THE PROVIDER LLC
Enrollment id
O20210528000334
Associate id
8628477452
Organization name
PEARL OF HILLSIDE LLC
Associate id - owner
6507100344
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-05-01
Organization name - owner
KUSHNER FAMILY IDF LLC
Address line 1 - owner
111 MADISON AVE
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
08701
Percentage ownership
5
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
O20210528000334
Associate id
8628477452
Organization name
PEARL OF HILLSIDE LLC
Associate id - owner
8325382161
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-05-01
Organization name - owner
REG 2018 IRREVOCABLE TRUST U/A/D 1/1/18
Address line 1 - owner
8501 LAWNDALE AVE
City - owner
SKOKIE
State - owner
IL
Zip code - owner
600762331
Percentage ownership
5
Created for acquisition - owner
N
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
N
Other type - owner
Y
Other type text - owner
TRUST

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