Countryside Care Center, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 2264835867 Enrollment ID O20210720001950

Details

Linked facilitiesFacilities
1
StatesStates
1

16 parties: 6 organizations · 10 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Bayshire Central Valley LLC5395192223Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Bayshire LLC5193132223Organization5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF51
Donald Adam Salow0547649170Individual5% or Greater Indirect Ownership Interest; Corporate Director; Operational/Managerial Control24.5
Jeff Lang8527534049IndividualOperational/Managerial Control; ADP of the SNF
Robert Cox9436625951IndividualOperational/Managerial Control; ADP of the SNF
Michelle Redd7618443136IndividualOperational/Managerial Control; ADP of the SNF
Jason Parrott3971023052IndividualOperational/Managerial Control; ADP of the SNF
Stephen M Grossman4183521131IndividualOperational/Managerial Control; ADP of the SNF
Astoria Healthcare Trust5799283859Organization5% or Greater Indirect Ownership Interest100
Scott Kirby2466875422Individual5% or Greater Indirect Ownership Interest; Corporate Officer51
Benjamin T Carter1951777192Individual5% or Greater Indirect Ownership Interest; Corporate Officer24.5
Abraham Bak4183857782IndividualDirect Ownership Interest; Indirect Ownership Interest
Unknown party0345748406OrganizationADP of the SNF
Big Fresco Master Subtenant, LLC0345748554OrganizationADP of the SNF
Emmanuel B Galit8628448990IndividualADP of the SNF
Unknown party8426556580OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Foundation Skilled Nursing
Countryside Care Center, LLC
56 residents
Other disclo…
3.74Ovr☆☆☆☆Stf☆☆☆☆Ins☆☆☆☆QM★★☆☆☆56
  • Countryside Care Center, LLC
    Other disclosed role56 res3.74 HPRD
    Overall 1Staffing Staff 1

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
04/09/2021Foundation Skilled NursingCountryside Care Center, LLCDycora Transitional HEALTH-MEMORY Care of Fresno LLCBuyer
  1. 04/09/2021
    Dycora Transitional HEALTH-MEMORY Care of Fresno LLCCountryside Care Center, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Countryside Care Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.