4459 Bailey Avenue Operating Company LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 4981856655 Enrollment ID O20121203000146

Linked facilitiesFacilities

StatesStates

3 parties: 0 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Jeffrey Rubin	7315854270	Individual	5% or Greater Direct Ownership Interest; Operational/Managerial Control	50
Warren D Cole	7517874233	Individual	5% or Greater Direct Ownership Interest; Operational/Managerial Control	50
Ann Marie Harris	3577668011	Individual	W-2 Managing Employee	0

Jeffrey RubinPAC 7315854270
Individual505% or Greater Direct Ownership Interest; Operational/Managerial Control
Warren D ColePAC 7517874233
Individual505% or Greater Direct Ownership Interest; Operational/Managerial Control
Ann Marie HarrisPAC 3577668011
Individual0W-2 Managing Employee

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Elderwood at Amherst 4459 Bailey Avenue Operating Company LLC 81 residents		Other disclo…	3.80	Ovr★★☆☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★★☆	81

Elderwood at Amherst
4459 Bailey Avenue Operating Company LLC
Other disclosed role81 res3.80 HPRD
Overall 2Staffing Staff 3

Related CMS associates

Name match to 4459 Bailey Avenue Operating Company LLC in FEC filings. Similar names may appear—confirm on FEC.gov.