Lindley Lane Operating LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 4385034172 Enrollment ID O20211210000112

Linked facilitiesFacilities

StatesStates

6 parties: 3 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Mack Downey	3971993767	Individual	W-2 Managing Employee	100
Pine Tree Holding LLC	3072903459	Organization	5% or Greater Direct Ownership Interest	100
Matisyohu Herzka	2163755752	Individual	5% or Greater Indirect Ownership Interest	64.67
Mh Ar Opco LLC	4981094364	Organization	5% or Greater Indirect Ownership Interest	64.67
Shlomo Z Scheinbaum	7517357999	Individual	5% or Greater Indirect Ownership Interest	32.33
Zcs Ar Opco LLC	5890185276	Organization	5% or Greater Indirect Ownership Interest	32.33

Mack DowneyPAC 3971993767
Individual100W-2 Managing Employee
Pine Tree Holding LLCPAC 3072903459
Organization1005% or Greater Direct Ownership Interest
Matisyohu HerzkaPAC 2163755752
Individual64.675% or Greater Indirect Ownership Interest
Mh Ar Opco LLCPAC 4981094364
Organization64.675% or Greater Indirect Ownership Interest
Shlomo Z ScheinbaumPAC 7517357999
Individual32.335% or Greater Indirect Ownership Interest
Zcs Ar Opco LLCPAC 5890185276
Organization32.335% or Greater Indirect Ownership Interest

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
The Blossoms at Newport Rehab & Nursing Center Lindley Lane Operating LLC 71 residents		Other disclo…	3.70	Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★☆☆☆	71

The Blossoms at Newport Rehab & Nursing Center
Lindley Lane Operating LLC
Other disclosed role71 res3.70 HPRD
Overall 2Staffing Staff 2

Related CMS associates

Name match to Lindley Lane Operating LLC in FEC filings. Similar names may appear—confirm on FEC.gov.