Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 6204096753 · 48 matching records

Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
6204096753
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2015-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
GOVERNING BODY - MEMBER
Enrollment id
O20050531000161
Associate id
1052353125
Organization name
SMITHTOWN HEALTH CARE MANAGEMENT
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20100309000310
Associate id
3971648478
Organization name
BELLHAVEN MANAGEMENT LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20100309000310
Associate id
3971648478
Organization name
BELLHAVEN MANAGEMENT LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2018-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
GOVERNING BODY MEMBER
Enrollment id
O20100309000310
Associate id
3971648478
Organization name
BELLHAVEN MANAGEMENT LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20110407000041
Associate id
5799969267
Organization name
KFG OPERATING I, LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-11-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20110407000041
Associate id
5799969267
Organization name
KFG OPERATING I, LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2020-11-02
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
GOVERNING BODY MEMBER
Enrollment id
O20110407000041
Associate id
5799969267
Organization name
KFG OPERATING I, LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2020-11-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20130613000662
Associate id
5496994949
Organization name
499 PINE BROOK OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-08-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20130613000662
Associate id
5496994949
Organization name
499 PINE BROOK OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2019-08-01
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
MEMBER - GOVERNING BODY
Enrollment id
O20130613000662
Associate id
5496994949
Organization name
499 PINE BROOK OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-08-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-08-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2019-08-01
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
MEMBER- GOVERNING BODY
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-08-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20141111000545
Associate id
7113149972
Organization name
2990 HOLME OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20141111000545
Associate id
7113149972
Organization name
2990 HOLME OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20141111000962
Associate id
0042432817
Organization name
701 LANSDALE OPERATING, LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20141111000962
Associate id
0042432817
Organization name
701 LANSDALE OPERATING, LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
MEMBER- GOVERNING BODY
Enrollment id
O20141111000962
Associate id
0042432817
Organization name
701 LANSDALE OPERATING, LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20141112002075
Associate id
5991927659
Organization name
1412 LANSDOWNE OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20141112002075
Associate id
5991927659
Organization name
1412 LANSDOWNE OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
MEMBER- GOVERNING BODY
Enrollment id
O20141114001409
Associate id
1153543723
Organization name
470 MANOR OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20160119000641
Associate id
3274836655
Organization name
CHERRY HILL OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-06-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20160119000641
Associate id
3274836655
Organization name
CHERRY HILL OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2022-06-01
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
GOVERNING BODY - MEMBER
Enrollment id
O20160119000641
Associate id
3274836655
Organization name
CHERRY HILL OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-06-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20160122000287
Associate id
9830492065
Organization name
VINELAND OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-06-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20160122000287
Associate id
9830492065
Organization name
VINELAND OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2022-06-01
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
GOVERNING BODY MEMBER
Enrollment id
O20160122000287
Associate id
9830492065
Organization name
VINELAND OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-06-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20160208000394
Associate id
4688978992
Organization name
PLEASANTVILLE OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-06-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20160208000394
Associate id
4688978992
Organization name
PLEASANTVILLE OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2022-06-01
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
MEMBER - GOVERNING BODY
Enrollment id
O20160208000394
Associate id
4688978992
Organization name
PLEASANTVILLE OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-06-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20160915000471
Associate id
1759677859
Organization name
SMITH HOUSE OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2016-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Percentage ownership
5
Enrollment id
O20160915000471
Associate id
1759677859
Organization name
SMITH HOUSE OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
MEMBER
Percentage ownership
5
Enrollment id
O20160915000471
Associate id
1759677859
Organization name
SMITH HOUSE OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2016-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
MEMBER- GOVERNING BODY
Enrollment id
O20160915000471
Associate id
1759677859
Organization name
SMITH HOUSE OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20160915000471
Associate id
1759677859
Organization name
SMITH HOUSE OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2016-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Percentage ownership
5
Enrollment id
O20180124003216
Associate id
3971862772
Organization name
HAMPTON NH OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20180124003216
Associate id
3971862772
Organization name
HAMPTON NH OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-01-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20251022000046
Associate id
3375031321
Organization name
TUCKERTON OPERATING, LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
39
Role text - owner
LIMITED PARTNERSHIP INTEREST
Association date - owner
2025-07-01
First name - owner
SHLOMO
Last name - owner
LEVI
Percentage ownership
1
Enrollment id
O20251022000046
Associate id
3375031321
Organization name
TUCKERTON OPERATING, LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-07-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20251022000046
Associate id
3375031321
Organization name
TUCKERTON OPERATING, LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-07-01
First name - owner
SHLOMO
Last name - owner
LEVI
Title - owner
MEMBER - GOVERNING BODY
Enrollment id
O20251022000046
Associate id
3375031321
Organization name
TUCKERTON OPERATING, LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20251022000046
Associate id
3375031321
Organization name
TUCKERTON OPERATING, LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2025-07-01
First name - owner
SHLOMO
Last name - owner
LEVI
Percentage ownership
1
Enrollment id
O20251202002987
Associate id
8729571393
Organization name
MEADOWBROOK OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-08-01
First name - owner
SHLOMO
Last name - owner
LEVI
Enrollment id
O20251202002987
Associate id
8729571393
Organization name
MEADOWBROOK OPERATING LLC
Associate id - owner
6204096753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-08-01
First name - owner
SHLOMO
Last name - owner
LEVI

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