Pavilion of South Shore LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 1052776101 Enrollment ID O20230425002531

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 5 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Marcella Graf2769659846IndividualCorporate Officer; W-2 Managing Employee
Jonathan H Aaron Revocable Trust2860857919Organization5% or Greater Direct Ownership Interest22.11
Stern Family Investment Tr6901112168Organization5% or Greater Direct Ownership Interest16.05
Todd a Stern 2015 Irrv Ins Tr3274944848Organization5% or Greater Direct Ownership Interest16.05
Ilana D Aaron Trust C/U Maurice Aaron 2014 Family Gift Trust1052781671Organization5% or Greater Direct Ownership Interest12.11
Kenneth Ripstein6507861192Individual5% or Greater Direct Ownership Interest9.56
Ilana D Aaron Trust C/U Maurice Aaron 2014 Legacy Gift Trust2961872585Organization5% or Greater Direct Ownership Interest9
Raphaela E Stern6901066786Individual5% or Greater Direct Ownership Interest5.56
Todd A Stern2264341924Individual5% or Greater Direct Ownership Interest5.56
Jonathan Aaron5890843643IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Pavilion of South Shore
Pavilion of South Shore LLC
108 residents
Other disclo…
3.43Ovr★★★☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★★108
  • Pavilion of South Shore LLC
    Other disclosed role108 res3.43 HPRD
    Overall 3Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
12/19/2022Pavilion of South ShorePavilion of South Shore LLCWaterfront Terrace, Inc.Buyer
  1. 12/19/2022
    Waterfront Terrace, Inc.Pavilion of South Shore LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Pavilion of South Shore LLC in FEC filings. Similar names may appear—confirm on FEC.gov.