Brooks Skilled Nursing Facility, a, Inc.

Enrollment entity
Provider / enrollment organization Enrollment PAC 8628105699 Enrollment ID O20100422000750, O20160418000589

Details

Linked facilitiesFacilities
2
StatesStates
1

12 parties: 3 organizations · 9 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Taylor Becht5496161549IndividualOperational/Managerial Control; ADP of the SNF
Jennifer Allen5890215875IndividualOperational/Managerial Control
Marc Lei8820310949IndividualOperational/Managerial Control; ADP of the SNF
Chonglun Xie3577590314IndividualOperational/Managerial Control; ADP of the SNF
Brooks Skilled Nursing, Inc.2860529831Organization5% or Greater Direct Ownership Interest100
Genesis Health Inc1153646831Organization5% or Greater Indirect Ownership Interest100
Eric Mann5698919355IndividualCorporate Director; Corporate Officer
James Tabor7810091683IndividualCorporate Officer
Victor Derienzo3678001203IndividualCorporate Officer
Douglas Baer5193755866IndividualCorporate Director; Corporate Officer
Forvis Mazars LLP7416866603OrganizationADP of the SNF
Unknown party4385163054IndividualADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Bartram Crossing
Brooks Skilled Nursing Facility, a, Inc.
109 residents
Other disclo…
4.43Ovr★★☆☆☆Stf★★★★★Ins☆☆☆☆QM★★★★★109
University Crossing
Brooks Skilled Nursing Facility, a, Inc.
104 residents
Other disclo…
5.87Ovr★★★★Stf★★★★Ins★★★★QM★★★★104
  • Brooks Skilled Nursing Facility, a, Inc.
    Other disclosed role109 res4.43 HPRD
    Overall 2Staffing Staff 5
  • Brooks Skilled Nursing Facility, a, Inc.
    Other disclosed role104 res5.87 HPRD
    Overall 4Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
06/01/2016University CrossingBrooks Skilled Nursing Facility, a, Inc.The Fannie E. Taylor Home for the Aged, Inc.Buyer
  1. 06/01/2016
    The Fannie E. Taylor Home for the Aged, Inc.Brooks Skilled Nursing Facility, a, Inc.
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Brooks Skilled Nursing Facility, a, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.