Portside Health & Rehab Center, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 8426385485 Enrollment ID O20190814000223

Linked facilitiesFacilities

StatesStates

16 parties: 10 organizations · 6 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Saber Governance LLC	4082946025	Organization	Operational/Managerial Control	100
Victoria Dumbra	6507149119	Individual	Operational/Managerial Control	0
Ken Speller	7911135926	Individual	W-2 Managing Employee	100
James Sparling	6901935469	Individual	W-2 Managing Employee	100
Saber Healthcare Holdings LLC	0547443889	Organization	5% or Greater Direct Ownership Interest	100
Wwbv Holdings LLC	1355677733	Organization	5% or Greater Indirect Ownership Interest	100
Shh Holdings LLC	9537495916	Organization	5% or Greater Indirect Ownership Interest	100
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020	9638330749	Organization	5% or Greater Indirect Ownership Interest	77.78
Wiw Dynasty LLC	6800150111	Organization	5% or Greater Indirect Ownership Interest	77.78
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)	2163758541	Organization	5% or Greater Indirect Ownership Interest	22.22
Bnv Dynasty LLC	4789091513	Organization	5% or Greater Indirect Ownership Interest	22.22
Benjamin N Volpe	4880850502	Individual	Corporate Officer; Corporate Director	50
William I Weisberg	7113834037	Individual	Corporate Officer; Corporate Director	50
Gregory Nicoluzakis	3870829252	Individual	Corporate Officer	—
Shg Management LLC	4082046800	Organization	Other	0
Saber Healthcare Group LLC	4688633944	Organization	Other	0

Saber Governance LLCPAC 4082946025
Organization100Operational/Managerial Control
Victoria DumbraPAC 6507149119
Individual0Operational/Managerial Control
Ken SpellerPAC 7911135926
Individual100W-2 Managing Employee
James SparlingPAC 6901935469
Individual100W-2 Managing Employee
Saber Healthcare Holdings LLCPAC 0547443889
Organization1005% or Greater Direct Ownership Interest
Wwbv Holdings LLCPAC 1355677733
Organization1005% or Greater Indirect Ownership Interest
Shh Holdings LLCPAC 9537495916
Organization1005% or Greater Indirect Ownership Interest
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020PAC 9638330749
Organization77.785% or Greater Indirect Ownership Interest
Wiw Dynasty LLCPAC 6800150111
Organization77.785% or Greater Indirect Ownership Interest
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)PAC 2163758541
Organization22.225% or Greater Indirect Ownership Interest
Bnv Dynasty LLCPAC 4789091513
Organization22.225% or Greater Indirect Ownership Interest
Benjamin N VolpePAC 4880850502
Individual50Corporate Officer; Corporate Director
William I WeisbergPAC 7113834037
Individual50Corporate Officer; Corporate Director
Gregory NicoluzakisPAC 3870829252
IndividualCorporate Officer
Shg Management LLCPAC 4082046800
Organization0Other
Saber Healthcare Group LLCPAC 4688633944
Organization0Other

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Portside Health & Rehab Center Portside Health & Rehab Center, LLC 123 residents		Other disclo…	3.44	Ovr★★★☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★★	123

Portside Health & Rehab Center
Portside Health & Rehab Center, LLC
Other disclosed role123 res3.44 HPRD
Overall 3Staffing Staff 2

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
07/01/2019	Portside Health & Rehab Center	Portside Health & Rehab Center, LLC	Sentara Life Care Corporation	Buyer

07/01/2019
Portside Health & Rehab Center (Buyer)
Sentara Life Care Corporation → Portside Health & Rehab Center, LLC

Related CMS associates

Name match to Portside Health & Rehab Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.