2850 Grand Island Boulevard Operating Company LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 1153573829 Enrollment ID O20121203000156

Linked facilitiesFacilities

StatesStates

3 parties: 0 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Warren D Cole	7517874233	Individual	5% or Greater Direct Ownership Interest; Operational/Managerial Control	50
Jeffrey Rubin	7315854270	Individual	5% or Greater Direct Ownership Interest; Operational/Managerial Control	50
Purti Varma	9335540814	Individual	W-2 Managing Employee	0

Warren D ColePAC 7517874233
Individual505% or Greater Direct Ownership Interest; Operational/Managerial Control
Jeffrey RubinPAC 7315854270
Individual505% or Greater Direct Ownership Interest; Operational/Managerial Control
Purti VarmaPAC 9335540814
Individual0W-2 Managing Employee

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Elderwood at Grand Island 2850 Grand Island Boulevard Operating Company LLC 82 residents		Other disclo…	3.18	Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM★★★★☆	82

Elderwood at Grand Island
2850 Grand Island Boulevard Operating Company LLC
Other disclosed role82 res3.18 HPRD
Overall 3Staffing Staff 3

Related CMS associates

Name match to 2850 Grand Island Boulevard Operating Company LLC in FEC filings. Similar names may appear—confirm on FEC.gov.