Hickory Village Nursing and Rehabilitation Center LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4082099841 Enrollment ID O20220914001386

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 5 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Yaacov Mashiach3577838408IndividualOperational/Managerial Control; ADP of the SNF; Direct Ownership Interest23.33
Yechiel Mashiach0840328670IndividualOperational/Managerial Control; ADP of the SNF; Direct Ownership Interest23.33
Jennifer Davey8628479367IndividualOperational/Managerial Control; ADP of the SNF
Sagun Gautam3476746462IndividualOperational/Managerial Control; ADP of the SNF
Wissati Irrevocable Trust4082951595OrganizationDirect Ownership Interest33.34
Rhonda Mashiach9638414303IndividualADP of the SNF; Direct Ownership Interest10
Rita Lipshitz8022243187IndividualADP of the SNF; Direct Ownership Interest10
Jade Financial Services LLC6406347384OrganizationADP of the SNF
Unknown party2062926983OrganizationADP of the SNF
Unknown party6901310820OrganizationADP of the SNF
Midland States Bancorp Inc4688188592Organization5% or Greater Security Interest0
Albert Grasso4082901368IndividualTrustee of the SNF
Steven Miretzky6901922822IndividualTrustee of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Hickory Vlg Nrsg & Rhb
Hickory Village Nursing and Rehabilitation Center LLC
66 residents
Other disclo…
2.67Ovr★★★☆☆Stf★★☆☆☆Ins★★★☆☆QM★★★☆☆66
  • Hickory Village Nursing and Rehabilitation Center LLC
    Other disclosed role66 res2.67 HPRD
    Overall 3Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
07/01/2022Hickory Vlg Nrsg & RhbHickory Village Nursing and Rehabilitation Center LLCHickory Nursing PavilionBuyer
  1. 07/01/2022
    Hickory Nursing PavilionHickory Village Nursing and Rehabilitation Center LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Hickory Village Nursing and Rehabilitation Center LLC in FEC filings. Similar names may appear—confirm on FEC.gov.