Spring Creek SNF LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 6406182351 Enrollment ID O20190730002800

Linked facilitiesFacilities

StatesStates

4 parties: 1 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Jayne Maher	5092196253	Individual	W-2 Managing Employee	—
Wissati Irrevocable Trust	4082951595	Organization	5% or Greater Direct Ownership Interest	33.33
Aharon Singer	4385862218	Individual	5% or Greater Direct Ownership Interest; Corporate Officer	33.33
Moshe Blonder	6709004617	Individual	5% or Greater Direct Ownership Interest; Corporate Officer	33.33

Jayne MaherPAC 5092196253
IndividualW-2 Managing Employee
Wissati Irrevocable TrustPAC 4082951595
Organization33.335% or Greater Direct Ownership Interest
Aharon SingerPAC 4385862218
Individual33.335% or Greater Direct Ownership Interest; Corporate Officer
Moshe BlonderPAC 6709004617
Individual33.335% or Greater Direct Ownership Interest; Corporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Spring Creek Spring Creek SNF LLC 118 residents		Other disclo…	2.67	Ovr★★★☆☆Stf★★☆☆☆Ins★★★☆☆QM★★★☆☆	118

Spring Creek
Spring Creek SNF LLC
Other disclosed role118 res2.67 HPRD
Overall 3Staffing Staff 2

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
05/01/2019	Spring Creek	Spring Creek SNF LLC	Spring Creek Nursing & Rehab Center LLC	Buyer

05/01/2019
Spring Creek (Buyer)
Spring Creek Nursing & Rehab Center LLC → Spring Creek SNF LLC

Related CMS associates

Name match to Spring Creek SNF LLC in FEC filings. Similar names may appear—confirm on FEC.gov.