Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 2163755752 · 20 matching records

Enrollment id: O20190528001037
Associate id: 2062755499
Organization name: CONTINENTAL SPRINGS LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 34
Role text - owner: 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner: 2018-11-15
First name - owner: MATISYOHU
Last name - owner: HERZKA
Percentage ownership: 33.33

Enrollment id: O20190528001037
Associate id: 2062755499
Organization name: CONTINENTAL SPRINGS LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2019-01-01
First name - owner: MATISYOHU
Last name - owner: HERZKA
Title - owner: SECRETARY AND TREASURER
Percentage ownership: 33.33

Enrollment id: O20211118001470
Associate id: 3274922950
Organization name: GOLF LINKS ROAD OPERATING LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2021-04-05
First name - owner: MATISYOHU
Last name - owner: HERZKA
Percentage ownership: 64.67

Enrollment id: O20211201001211
Associate id: 6406246750
Organization name: WEST MARKHAM STREET OPERATING LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2021-04-05
First name - owner: MATISYOHU
Last name - owner: HERZKA
Percentage ownership: 67

Enrollment id: O20211207000125
Associate id: 8224428214
Organization name: CUMBERLAND STREET OPERATING LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2023-01-01
First name - owner: MATISYOHU
Last name - owner: HERZKA
Percentage ownership: 64.67

Enrollment id: O20211208001550
Associate id: 5698165561
Organization name: WEST DIXON ROAD OPERATING LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2023-01-01
First name - owner: MATISYOHU
Last name - owner: HERZKA
Percentage ownership: 64.67

Enrollment id: O20211210000112
Associate id: 4385034172
Organization name: LINDLEY LANE OPERATING LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2023-01-01
First name - owner: MATISYOHU
Last name - owner: HERZKA
Percentage ownership: 64.67

Enrollment id: O20211210001040
Associate id: 9638569445
Organization name: JOHN ASHLEY DRIVE OPERATING LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2023-01-01
First name - owner: MATISYOHU
Last name - owner: HERZKA
Title - owner: MANAGING MEMBER
Percentage ownership: 64.67

Enrollment id: O20240709001388
Associate id: 8729523204
Organization name: NORTH PECAN STREET OPERATING LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2023-04-01
First name - owner: MATISYOHU
Last name - owner: HERZKA
Percentage ownership: 33.33

Enrollment id: O20240716000948
Associate id: 7315482296
Organization name: HUNTSVILLE ROAD OPERATING LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2023-04-01
First name - owner: MATISYOHU
Last name - owner: HERZKA
Percentage ownership: 33.33

Enrollment id: O20240724003564
Associate id: 3274079314
Organization name: MAIN STREET OPERATING LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2023-04-01
First name - owner: MATISYOHU
Last name - owner: HERZKA
Percentage ownership: 33.33

Enrollment id: O20240905001354
Associate id: 8426598442
Organization name: HAMMONS AVENUE OPERATING LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2023-04-05
First name - owner: MATISYOHU
Last name - owner: HERZKA
Percentage ownership: 33.33

Enrollment id: O20250113003373
Associate id: 7719415108
Organization name: COLLEGE AVENUE OPERATING LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2023-04-05
First name - owner: MATISYOHU
Last name - owner: HERZKA
Percentage ownership: 33.33

Enrollment id: O20250306001578
Associate id: 1759802739
Organization name: N DREW STREET OPERATING LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2024-08-01
First name - owner: MATISYOHU
Last name - owner: HERZKA
Percentage ownership: 32

Enrollment id: O20250306001834
Associate id: 5698296689
Organization name: CYNTHIA STREET OPERATING LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2024-08-01
First name - owner: MATISYOHU
Last name - owner: HERZKA
Percentage ownership: 32

Enrollment id: O20250318002850
Associate id: 8426570516
Organization name: OAK CIRCLE OPERATING LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2024-08-01
First name - owner: MATISYOHU
Last name - owner: HERZKA
Percentage ownership: 32

Enrollment id: O20250819002879
Associate id: 8224537907
Organization name: MANOR ROAD OPERATING LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2024-08-01
First name - owner: MATISYOHU
Last name - owner: HERZKA
Percentage ownership: 32

Enrollment id: O20251223002743
Associate id: 6002266012
Organization name: BLAIR NF OPERATIONS LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 34
Role text - owner: 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner: 2023-06-29
First name - owner: MATISYOHU
Last name - owner: HERZKA
Title - owner: CHIEF EXECUTIVE OFFICER
Percentage ownership: 49.5

Enrollment id: O20251223002743
Associate id: 6002266012
Organization name: BLAIR NF OPERATIONS LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2023-06-23
First name - owner: MATISYOHU
Last name - owner: HERZKA

Enrollment id: O20251223002743
Associate id: 6002266012
Organization name: BLAIR NF OPERATIONS LLC
Associate id - owner: 2163755752
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-06-29
First name - owner: MATISYOHU
Last name - owner: HERZKA

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