Royal Terrace Healthcare LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 5890094270 Enrollment ID O20160506000864

Linked facilitiesFacilities

StatesStates

15 parties: 8 organizations · 7 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Terrace Licensee 7	7416256805	Organization	5% or Greater Direct Ownership Interest; Operational/Managerial Control	100
Dov E Jacobs	3375771793	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer	40, 100
Serrano Group LLC	0648579284	Organization	5% or Greater Indirect Ownership Interest	60
Yaame LLC	7911206552	Organization	5% or Greater Indirect Ownership Interest	40
Benjamin Landa	7810804515	Individual	5% or Greater Indirect Ownership Interest	17.67
Bin Mendel LLC	5193024735	Organization	5% or Greater Indirect Ownership Interest	17.67
Bl Cali Partners LLC	5193024743	Organization	5% or Greater Indirect Ownership Interest	17.67
Howard Fensterman	9234237207	Individual	5% or Greater Indirect Ownership Interest	17.67
Judah Taub	8527361294	Individual	5% or Greater Indirect Ownership Interest	17.67
Serrano Partners LLC	0648579292	Organization	5% or Greater Indirect Ownership Interest	17.67
Js Fenton LLC	1456650001	Organization	5% or Greater Indirect Ownership Interest	6.67
Robert Fensterman	1052220258	Individual	5% or Greater Indirect Ownership Interest	5
Rgf Consulting LLC	7810296464	Organization	5% or Greater Indirect Ownership Interest	3
Jordan Fensterman	4082700281	Individual	5% or Greater Indirect Ownership Interest	2.5
Staci Leibson	6800982000	Individual	5% or Greater Indirect Ownership Interest	1.5

Terrace Licensee 7PAC 7416256805
Organization1005% or Greater Direct Ownership Interest; Operational/Managerial Control
Dov E JacobsPAC 3375771793
Individual40, 1005% or Greater Indirect Ownership Interest; Corporate Officer
Serrano Group LLCPAC 0648579284
Organization605% or Greater Indirect Ownership Interest
Yaame LLCPAC 7911206552
Organization405% or Greater Indirect Ownership Interest
Benjamin LandaPAC 7810804515
Individual17.675% or Greater Indirect Ownership Interest
Bin Mendel LLCPAC 5193024735
Organization17.675% or Greater Indirect Ownership Interest
Bl Cali Partners LLCPAC 5193024743
Organization17.675% or Greater Indirect Ownership Interest
Howard FenstermanPAC 9234237207
Individual17.675% or Greater Indirect Ownership Interest
Judah TaubPAC 8527361294
Individual17.675% or Greater Indirect Ownership Interest
Serrano Partners LLCPAC 0648579292
Organization17.675% or Greater Indirect Ownership Interest
Js Fenton LLCPAC 1456650001
Organization6.675% or Greater Indirect Ownership Interest
Robert FenstermanPAC 1052220258
Individual55% or Greater Indirect Ownership Interest
Rgf Consulting LLCPAC 7810296464
Organization35% or Greater Indirect Ownership Interest
Jordan FenstermanPAC 4082700281
Individual2.55% or Greater Indirect Ownership Interest
Staci LeibsonPAC 6800982000
Individual1.55% or Greater Indirect Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Royal Terrace Healthcare Royal Terrace Healthcare LLC 50 residents		Other disclo…	4.73	Ovr★★★★☆Stf★★★☆☆Ins★★★☆☆QM★★★★★	50

Royal Terrace Healthcare
Royal Terrace Healthcare LLC
Other disclosed role50 res4.73 HPRD
Overall 4Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
01/01/2016	Royal Terrace Healthcare	Royal Terrace Healthcare LLC	Royal Terrace LLC	Buyer

01/01/2016
Royal Terrace Healthcare (Buyer)
Royal Terrace LLC → Royal Terrace Healthcare LLC

Related CMS associates

Name match to Royal Terrace Healthcare LLC in FEC filings. Similar names may appear—confirm on FEC.gov.