Columbia Tn SNF LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6800151283 Enrollment ID O20180606001480

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 4 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Courtney L King9638397318IndividualW-2 Managing Employee
Crystal Harbour1456607332IndividualW-2 Managing Employee
Columbia Tn Holdings LLC5395091268Organization5% or Greater Direct Ownership Interest100
Gold River Holdings, LLC5991051625Organization5% or Greater Direct Ownership Interest23.6
Mattisyahu Nussbaum2466708342Individual5% or Greater Indirect Ownership Interest; Corporate Officer36.06
Jerome Weinstock5799961363Individual5% or Greater Indirect Ownership Interest; Corporate Officer34.72
Avi Scherman4284980160Individual5% or Greater Indirect Ownership Interest21.4
Scherm Estate LLC7012263999Organization5% or Greater Indirect Ownership Interest21.4
Shimon Lefkowitz6002828514Individual5% or Greater Indirect Ownership Interest7.32
Cibc Bank Usa8426229584Organization5% or Greater Security Interest

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Magnolia Healthcare and Rehabilitation Center
Columbia Tn SNF LLC
82 residents
Other disclo…
3.40Ovr★★☆☆☆Stf☆☆☆☆Ins★★★☆☆QM★★★☆☆82
Related CMS associates

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