1818 Como Park Boulevard Operating Company, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 2365693371 Enrollment ID O20121121000003

Linked facilitiesFacilities

StatesStates

3 parties: 0 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Jeffrey Rubin	7315854270	Individual	5% or Greater Direct Ownership Interest; Operational/Managerial Control	50
Warren D Cole	7517874233	Individual	5% or Greater Direct Ownership Interest; Operational/Managerial Control	50
Angela Ann Hauser	0143631762	Individual	W-2 Managing Employee	0

Jeffrey RubinPAC 7315854270
Individual505% or Greater Direct Ownership Interest; Operational/Managerial Control
Warren D ColePAC 7517874233
Individual505% or Greater Direct Ownership Interest; Operational/Managerial Control
Angela Ann HauserPAC 0143631762
Individual0W-2 Managing Employee

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Elderwood at Lancaster 1818 Como Park Boulevard Operating Company, LLC 86 residents		Other disclo…	2.76	Ovr★★★☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★★	86

Elderwood at Lancaster
1818 Como Park Boulevard Operating Company, LLC
Other disclosed role86 res2.76 HPRD
Overall 3Staffing Staff 2

Related CMS associates

Name match to 1818 Como Park Boulevard Operating Company, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.