Pearl of Elgin, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 1557804176 Enrollment ID O20240624001263

Details

Linked facilitiesFacilities
1
StatesStates
1

11 parties: 6 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Hina Nawab4486828522IndividualContracted Managing Employee
Reynaldo Querubin3173437233IndividualW-2 Managing Employee
Phc Elgin Holdings LLC9436692068Organization5% or Greater Direct Ownership Interest99.99
Eitan Zeffren6406158658Individual5% or Greater Indirect Ownership Interest; Corporate Officer60
Ez Holdco LLC0547684219Organization5% or Greater Indirect Ownership Interest60
Eliyahu Grinblatt3971948829Individual5% or Greater Indirect Ownership Interest20
Hooli Operations LLC2961945597Organization5% or Greater Indirect Ownership Interest20
Reg 2018 Irrevocable Trust U/A/D 1/1/188325382161Organization5% or Greater Indirect Ownership Interest20
2355 Royal Blvd LLC7214470848Organization5% or Greater Security Interest
Ccg Barbados, LLC3173967114Organization5% or Greater Security Interest
Meyer Magence0749419471IndividualOther20

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Pearl of Elgin, the
Pearl of Elgin, LLC
125 residents
Other disclo…
3.18Ovr★★★★Stf★★☆☆☆Ins★★★☆☆QM★★★★★125
  • Pearl of Elgin, LLC
    Other disclosed role125 res3.18 HPRD
    Overall 4Staffing Staff 2
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