PBJ320
Ownership
North Lake Nursing and Rehab LLC
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
3.39
6 parties: 4 organizations · 2 individuals
Owners & control parties
| Name | Owner/control PAC | Type | Role(s) | % |
|---|---|---|---|---|
| Russell Blackman | 6608280250 | Individual | W-2 Managing Employee | 100 |
| Fl Master Opco Holdco LLC | 6204210602 | Organization | 5% or Greater Indirect Ownership Interest | 100 |
| North Lake Nursing Holdco LLC | 1052780814 | Organization | 5% or Greater Direct Ownership Interest | 100 |
| Fl SNF Trust I | 8921482324 | Organization | 5% or Greater Indirect Ownership Interest | 50 |
| Fl SNF Trust II | 9830573237 | Organization | 5% or Greater Indirect Ownership Interest | 50 |
| Jack Y Shelby | 3173922960 | Individual | Corporate Officer | 100 |
- Individual100W-2 Managing Employee
- Organization1005% or Greater Indirect Ownership Interest
- Organization1005% or Greater Direct Ownership Interest
- Organization505% or Greater Indirect Ownership Interest
- Organization505% or Greater Indirect Ownership Interest
- Individual100Corporate Officer
North Lake Nursing and Rehab LLC Portfolio
| Facility | Location | % Own. | HPRD | Ratings | Census | Flags |
|---|---|---|---|---|---|---|
North Lake Care Center and Rehab North Lake Nursing and Rehab LLC | Other disclo… | 3.39 | 79 |
Ownership history
1 CMS ownership change record (showing 1)
| Effective | Facility | Buyer | Seller | Side |
|---|---|---|---|---|
| 07/27/2022 | North Lake Care Center and Rehab | North Lake Nursing and Rehab LLC | North Lake Facility Inc | Buyer |
- 07/27/2022North Lake Care Center and Rehab (Buyer)North Lake Facility Inc → North Lake Nursing and Rehab LLC
Associated Owners · 1
Show associated owners
| Name | Shared | Link |
|---|---|---|
| North Lake Facility Inc | 1 CHOW | CMS ownership change |
FEC political contributions FEC contributions Beta
Name match to North Lake Nursing and Rehab LLC in FEC filings. Similar names may appear—confirm on FEC.gov.