Public record

CMS Skilled Nursing Facility All Owners

Associate id: 8820407216 · 25 matching records

Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
1153447461
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-05-28
First name - owner
ZHI
Middle name - owner
J
Last name - owner
YU
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
1456750124
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-05-01
Organization name - owner
NPNH1 LLC
Address line 1 - owner
5225 COLLINS AVE
Address line 2 - owner
APT 1501
City - owner
MIAMI BEACH
State - owner
FL
Zip code - owner
331402508
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
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
1456750124
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-05-01
Organization name - owner
NPNH1 LLC
Address line 1 - owner
5225 COLLINS AVE
Address line 2 - owner
APT 1501
City - owner
MIAMI BEACH
State - owner
FL
Zip code - owner
331402508
Percentage ownership
22.5
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
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
N
Owned by another org or ind - owner
Y
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
1850790528
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
EZRA
Last name - owner
BIRNBAUM
Percentage ownership
22.5
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
1850790528
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-05-01
First name - owner
EZRA
Last name - owner
BIRNBAUM
Percentage ownership
22.5
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
2365359932
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-05-28
Organization name - owner
POWERBACK REHABILITATION LLC
Doing business as name - owner
POWERBACK REHABILITATION
Address line 1 - owner
101 E STATE ST
City - owner
KENNETT SQUARE
State - owner
PA
Zip code - owner
193483109
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
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
2365708799
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-02-26
First name - owner
JOSEPH
Middle name - owner
H
Last name - owner
LEWIS
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
2365708799
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-02-26
First name - owner
JOSEPH
Middle name - owner
H
Last name - owner
LEWIS
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
2769881739
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-05-01
First name - owner
AZRIEL
Last name - owner
INZELBUCH
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
2769881739
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-05-01
First name - owner
AZRIEL
Last name - owner
INZELBUCH
Percentage ownership
15
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
5496154163
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-05-01
First name - owner
SIMON
Last name - owner
SINGER
Percentage ownership
22.5
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
6002192002
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-05-01
First name - owner
AKIVA
Last name - owner
KRIESER
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
6204355241
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-05-28
Organization name - owner
RICHARDS MITCHELL & CROSS PA
Address line 1 - owner
2123 CENTRE POINTE BLVD
City - owner
TALLAHASSEE
State - owner
FL
Zip code - owner
323084930
Corporation - owner
Y
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
N
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
6305245077
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-05-01
First name - owner
SHAYE
Last name - owner
HIRSCH
Percentage ownership
5
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
7012283047
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-05-01
First name - owner
RAFAEL
Last name - owner
MOERMAN
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
7012283047
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-05-01
First name - owner
RAFAEL
Last name - owner
MOERMAN
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
7012283047
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-05-01
First name - owner
RAFAEL
Last name - owner
MOERMAN
Percentage ownership
35
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
8224548169
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-05-28
Organization name - owner
FASTEN HALBERSTAM LLP
Address line 1 - owner
40 WALL ST
Address line 2 - owner
STE 3602
City - owner
NEW YORK
State - owner
NY
Zip code - owner
100051562
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
LLP
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
8628477395
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-05-01
Organization name - owner
FTK CAPITAL LLC
Address line 1 - owner
1415 E 29TH ST
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112105316
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
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
8628477395
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-05-01
Organization name - owner
FTK CAPITAL LLC
Address line 1 - owner
1415 E 29TH ST
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112105316
Percentage ownership
22.5
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
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
N
Owned by another org or ind - owner
Y
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
8820497597
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-03-03
Organization name - owner
PAVILION HOLDINGS LLC
Address line 1 - owner
1 VALLEY GREENS DR
City - owner
VALLEY STREAM
State - owner
NY
Zip code - owner
115813634
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
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
8820497597
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2021-03-03
Organization name - owner
PAVILION HOLDINGS LLC
Address line 1 - owner
1 VALLEY GREENS DR
City - owner
VALLEY STREAM
State - owner
NY
Zip code - owner
115813634
Percentage ownership
100
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
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
Parent company - owner
Y
Owned by another org or ind - owner
Y
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
9739559543
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-05-01
Organization name - owner
SHS KEREN LLC
Address line 1 - owner
523 ALBEMARLE RD
City - owner
CEDARHURST
State - owner
NY
Zip code - owner
115161231
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
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
9739559543
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-05-01
Organization name - owner
SHS KEREN LLC
Address line 1 - owner
523 ALBEMARLE RD
City - owner
CEDARHURST
State - owner
NY
Zip code - owner
115161231
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
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
N
Owned by another org or ind - owner
Y
Enrollment id
O20210517000103
Associate id
8820407216
Organization name
THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION LLC
Associate id - owner
9739696170
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-05-28
Organization name - owner
PAVILION MANAGEMENT GROUP LLC
Address line 1 - owner
1 VALLEY GREENS DR
City - owner
VALLEY STREAM
State - owner
NY
Zip code - owner
115813634
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
Y
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

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