Vs Servicer at Beacon LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 7911380001 Enrollment ID O20220823002134

Linked facilitiesFacilities

StatesStates

3 parties: 0 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Michael Farbenblum	2860700077	Individual	5% or Greater Direct Ownership Interest; Operational/Managerial Control	50
Stephen M Eaton Mercurio	0547594194	Individual	5% or Greater Direct Ownership Interest; Operational/Managerial Control	50
Michael Mazur	1153705124	Individual	Corporate Director; W-2 Managing Employee	—

Michael FarbenblumPAC 2860700077
Individual505% or Greater Direct Ownership Interest; Operational/Managerial Control
Stephen M Eaton MercurioPAC 0547594194
Individual505% or Greater Direct Ownership Interest; Operational/Managerial Control
Michael MazurPAC 1153705124
IndividualCorporate Director; W-2 Managing Employee

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Taconic Rehabilitation And Nursing At Beacon Vs Servicer at Beacon LLC 146 residents		Other disclo…	3.72	Ovr★★★★☆Stf★★★☆☆Ins★★★★☆QM★★★★☆	146

Taconic Rehabilitation And Nursing At Beacon
Vs Servicer at Beacon LLC
Other disclosed role146 res3.72 HPRD
Overall 4Staffing Staff 3

Related CMS associates

Name match to Vs Servicer at Beacon LLC in FEC filings. Similar names may appear—confirm on FEC.gov.