120 Main Street Operator LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 1254603806 Enrollment ID O20170817001327

Details

Linked facilitiesFacilities
1
StatesStates
1

5 parties: 1 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Next Step Healthcare LLC8527330182Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Maya Berdzenishvili2668454901IndividualOperational/Managerial Control; ADP of the SNF
Joanne Sauve0345512901IndividualOperational/Managerial Control; ADP of the SNF
Damian Dell'anno8123064557Individual5% or Greater Indirect Ownership Interest; Corporate Officer50
William Stephan1153239975Individual5% or Greater Indirect Ownership Interest; Corporate Officer50

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Dexter House Healthcare
120 Main Street Operator LLC
95 residents
Other disclo…
3.37Ovr★★★☆☆Stf★★★★Ins★★★☆☆QM★★★★95
  • 120 Main Street Operator LLC
    Other disclosed role95 res3.37 HPRD
    Overall 3Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
09/01/2017Dexter House Healthcare120 Main Street Operator LLCGgnsc Malden Dexter LLCBuyer
  1. 09/01/2017
    Ggnsc Malden Dexter LLC120 Main Street Operator LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to 120 Main Street Operator LLC in FEC filings. Similar names may appear—confirm on FEC.gov.