PBJ320 Ownership

104 Old Niagara Road Operating Company, LLC

Provider / enrollment organizationNew York
Enrollment PAC5193086940Enrollment IDO20180219002400

By state

State#
NY1
Total1

Details

Enrollment entity. CMS facility enrollment PAC with linked owners, facilities, and any ownership transactions in CMS data.
Total Facilities
1
Overall rating
4.0
Total nurse HPRD
3.65

5 parties: 1 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Jeffrey Rubin7315854270Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control50
Warren D Cole7517874233Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control50
Shane Daniel Setlock5991116675IndividualW-2 Managing Employee0
Philip Quillard3375450059IndividualCorporate Officer; Operational/Managerial Control
104 Old Niagara Road Operating Holdco, LLC5395006050Organization5% or Greater Direct Ownership Interest100

104 Old Niagara Road Operating Company, LLC Portfolio

Facility Location % Own. HPRD Ratings Census Flags
Elderwood at Lockport
104 Old Niagara Road Operating Company, LLC
101 residents
Other disclo…
3.65Ovr★★★★Stf★★★☆☆Ins★★★★QM★★★☆☆101
  • 104 Old Niagara Road Operating Company, LLC
    Other disclosed role101 res3.65 HPRD
    Ovr 4Stf 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
01/30/2018Elderwood at Lockport104 Old Niagara Road Operating Company, LLCOdd Fellow and Rebekah Rehabilitation and Health Care Center IncBuyer
  1. 01/30/2018
    Odd Fellow and Rebekah Rehabilitation and Health Care Center Inc104 Old Niagara Road Operating Company, LLC
Associated Owners · 1
Show associated owners

FEC political contributions FEC contributions Beta

Name match to 104 Old Niagara Road Operating Company, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.