Springs Rehabilitation at Brandywine LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 2365841749 Enrollment ID O20210604002752

Linked facilitiesFacilities

StatesStates

5 parties: 3 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Tsahai Z. Shaw	9739306754	Individual	Operational/Managerial Control	—
Coral Springs LLC	0345640777	Organization	5% or Greater Direct Ownership Interest	100
Srab Holdings LLC	4981004314	Organization	5% or Greater Indirect Ownership Interest	85.3
Moshe A Stern	2062726607	Individual	5% or Greater Indirect Ownership Interest	83.5
De Noble Parentco LLC	2062812498	Organization	5% or Greater Indirect Ownership Interest	14.7

Tsahai Z. ShawPAC 9739306754
IndividualOperational/Managerial Control
Coral Springs LLCPAC 0345640777
Organization1005% or Greater Direct Ownership Interest
Srab Holdings LLCPAC 4981004314
Organization85.35% or Greater Indirect Ownership Interest
Moshe A SternPAC 2062726607
Individual83.55% or Greater Indirect Ownership Interest
De Noble Parentco LLCPAC 2062812498
Organization14.75% or Greater Indirect Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Coral Springs Rehab & Healthcare Springs Rehabilitation at Brandywine LLC 152 residents		Other disclo…	3.57	Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★☆	152

Coral Springs Rehab & Healthcare
Springs Rehabilitation at Brandywine LLC
Other disclosed role152 res3.57 HPRD
Overall 2Staffing Staff 2

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
05/13/2021	Coral Springs Rehab & Healthcare	Springs Rehabilitation at Brandywine LLC	Brandywine Nursing and Rehabilitation Inc	Buyer

05/13/2021
Coral Springs Rehab & Healthcare (Buyer)
Brandywine Nursing and Rehabilitation Inc → Springs Rehabilitation at Brandywine LLC

Related CMS associates

Name match to Springs Rehabilitation at Brandywine LLC in FEC filings. Similar names may appear—confirm on FEC.gov.