St Augustine Fl Opco LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 1052707916 Enrollment ID O20220401002362

Details

Linked facilitiesFacilities
1
StatesStates
1

8 parties: 5 organizations · 3 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Lilac Health Group LLC3870989734OrganizationOperational/Managerial Control100
Larry Lake9335176718IndividualW-2 Managing Employee0
St. Augustine Fl Holdco LLC5698161552Organization5% or Greater Direct Ownership Interest100
Lilac SNF Holdco LLC4789070640Organization5% or Greater Indirect Ownership Interest100
Hc Family Trust6406241207Organization5% or Greater Indirect Ownership Interest50
Zanziper Family Trust4688069487Organization5% or Greater Indirect Ownership Interest50
Batya Gorelick0941638225IndividualCorporate Officer0
Alex Terentev3274675665IndividualCorporate Officer

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Lilac at Bayview, the
St Augustine Fl Opco LLC
106 residents
Other disclo…
3.53Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★106
  • St Augustine Fl Opco LLC
    Other disclosed role106 res3.53 HPRD
    Overall 2Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
01/13/2022Lilac at Bayview, theSt Augustine Fl Opco LLCSt. Johns County Welfare FederationBuyer
  1. 01/13/2022
    St. Johns County Welfare FederationSt Augustine Fl Opco LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to St Augustine Fl Opco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.