1801 Wentworth Opco LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7416356621 Enrollment ID O20210520000700

Details

Linked facilitiesFacilities
1
StatesStates
1

9 parties: 5 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Ziad K Mirza2163321787IndividualOperational/Managerial Control; ADP of the SNF
Joanna Dercole2668871872IndividualOperational/Managerial Control; ADP of the SNF
Mark Schwartz6709249386IndividualCorporate Officer; Operational/Managerial Control
1801 Wentworth Holdco LLC9234538448Organization5% or Greater Direct Ownership Interest100
A&R Stern Family MD1 Holdings LLC5597164814Organization5% or Greater Indirect Ownership Interest74.15
Hatzlacha Rabbah LLC6406255728Organization5% or Greater Indirect Ownership Interest24.85
Aryeh Stern5193893428IndividualIndirect Ownership Interest1
Unknown party7315450863OrganizationADP of the SNF
Unknown party8224541776OrganizationADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Autumn Lake Healthcare at Perring Parkway
1801 Wentworth Opco LLC
100 residents
Other disclo…
3.39Ovr★★★★Stf★★★☆☆Ins★★★☆☆QM★★★★★100

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
05/01/2021Autumn Lake Healthcare at Perring Parkway1801 Wentworth Opco LLC1801 Wentworth Road Operations LLCBuyer
  1. 05/01/2021
    1801 Wentworth Road Operations LLC1801 Wentworth Opco LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to 1801 Wentworth Opco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.