The Pavilion at Crescent Lake for Nursing and Rehabilitation LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 3375952781 Enrollment ID O20210513003005

Details

Linked facilitiesFacilities
1
StatesStates
1

16 parties: 8 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Rafael Moerman7012283047Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Indirect Ownership Interest55
Raymond Anderson5193933174IndividualOperational/Managerial Control; ADP of the SNF
Akiva Krieser6002192002IndividualOperational/Managerial Control
Crescent City Holdings LLC1951700921OrganizationDirect Ownership Interest100
Azriel Inzelbuch2769881739IndividualIndirect Ownership Interest30
Ezra Birnbaum1850790528IndividualIndirect Ownership Interest6.75
Simon Singer5496154163IndividualIndirect Ownership Interest6.75
Ftk Capital LLC8628477395OrganizationIndirect Ownership Interest6.75
NPNH1 LLC1456750124OrganizationIndirect Ownership Interest6.75
Shaye Hirsch6305245077IndividualIndirect Ownership Interest1.5
Shs Keren LLC9739559543OrganizationIndirect Ownership Interest1.5
Moustafa M Eldick7113074469IndividualADP of the SNF
Fasten Halberstam LLP8224548169OrganizationADP of the SNF
Pavilion Management Group LLC9739696170OrganizationADP of the SNF
Powerback Rehabilitation LLC2365359932OrganizationADP of the SNF
Richards Mitchell & Cross Pa6204355241OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
The Pavilion at Crescent Lake
The Pavilion at Crescent Lake for Nursing and Rehabilitation LLC
72 residents
Other disclo…
3.57Ovr★★★★Stf★★★★Ins★★★☆☆QM★★★★★72
  • The Pavilion at Crescent Lake for Nursing and Rehabilitation LLC
    Other disclosed role72 res3.57 HPRD
    Overall 4Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
05/01/2021The Pavilion at Crescent LakeThe Pavilion at Crescent Lake for Nursing and Rehabilitation LLCLakewood Nursing Center IncBuyer
  1. 05/01/2021
    Lakewood Nursing Center IncThe Pavilion at Crescent Lake for Nursing and Rehabilitation LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to The Pavilion at Crescent Lake for Nursing and Rehabilitation LLC in FEC filings. Similar names may appear—confirm on FEC.gov.