Forest Manor Management, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 5991973786 Enrollment ID O20110721000705

Linked facilitiesFacilities

StatesStates

3 parties: 1 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Zev E Farkas	9638271380	Individual	5% or Greater Indirect Ownership Interest; W-2 Managing Employee	50
Forest Manor Aquisition 1LLC	7810282035	Organization	5% or Greater Direct Ownership Interest	100
William Nicholson	6901900638	Individual	5% or Greater Indirect Ownership Interest	50

Zev E FarkasPAC 9638271380
Individual505% or Greater Indirect Ownership Interest; W-2 Managing Employee
Forest Manor Aquisition 1LLCPAC 7810282035
Organization1005% or Greater Direct Ownership Interest
William NicholsonPAC 6901900638
Individual505% or Greater Indirect Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Forest Manor Hcc Forest Manor Management, LLC 108 residents		Other disclo…	3.34	Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM★★★★☆	108

Forest Manor Hcc
Forest Manor Management, LLC
Other disclosed role108 res3.34 HPRD
Overall 3Staffing Staff 3

Related CMS associates

Name match to Forest Manor Management, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.