Wallis Road Opco LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 3173968617 Enrollment ID O20240223003476

Details

Linked facilitiesFacilities
1
StatesStates
1

9 parties: 6 organizations · 3 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Russell Blackman6608280250IndividualOperational/Managerial Control; ADP of the SNF
Yanitza Rodriguez6901085919IndividualOperational/Managerial Control; ADP of the SNF
Nochum Freund3870870553IndividualCorporate Officer; Operational/Managerial Control
Wallis Parent LLC1557709144OrganizationDirect Ownership Interest100
Azalea Palm Holdco LLC3375981962OrganizationIndirect Ownership Interest100
Unknown party3072013283OrganizationADP of the SNF
Unknown party4981104197OrganizationADP of the SNF
Unknown party5890295000OrganizationADP of the SNF
Aspire Mgt LLC1557716461OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Aviata at West Palm Beach
Wallis Road Opco LLC
113 residents
Other disclo…
3.34Ovr★★☆☆☆Stf★★★☆☆Ins☆☆☆☆QM★★★★★113
  • Wallis Road Opco LLC
    Other disclosed role113 res3.34 HPRD
    Overall 2Staffing Staff 3
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Name match to Wallis Road Opco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.