Fairway Oaks Center LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4688583610 Enrollment ID O20030407000029

Details

Linked facilitiesFacilities
1
StatesStates
1

9 parties: 3 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Emmanuel Agbaneje Sterlin9133633126IndividualOperational/Managerial Control
Tomika Harris8123532116IndividualOperational/Managerial Control
Zechariah Legendary9032596226IndividualOperational/Managerial Control; ADP of the SNF
Fairway Oaks Holdco LLC0143734137OrganizationDirect Ownership Interest100
Lce Partners LLC8628484037OrganizationIndirect Ownership Interest100
Leopold Friedman9032360649IndividualIndirect Ownership Interest80
Samuel Gutman8820351505IndividualIndirect Ownership Interest20
Aston Healthcare LLC2163942194OrganizationADP of the SNF
Ramon Guerrero Cueto2062595739IndividualADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Fairway Oaks Center
Fairway Oaks Center LLC
105 residents
Other disclo…
3.59Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★☆☆☆105
  • Fairway Oaks Center LLC
    Other disclosed role105 res3.59 HPRD
    Overall 2Staffing Staff 2
Related CMS associates

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Name match to Fairway Oaks Center LLC in FEC filings. Similar names may appear—confirm on FEC.gov.