PBJ320 Ownership

170 West Avenue Operating Company LLC

Provider / enrollment organizationNew York
Enrollment PAC8729354931Enrollment IDO20171016001528

By state

State#
NY1
Total1

Details

Enrollment entity. CMS facility enrollment PAC with linked owners, facilities, and any ownership transactions in CMS data.
Facilities
1
Avg overall rating
3.0
Weighted total nurse HPRD
2.80
Avg staffing rating
1.0

5 parties: 1 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
170 West Avenue Operating Holdco LLC6901172113Organization5% or Greater Direct Ownership Interest100
Jeffrey Rubin7315854270Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control50
Warren D Cole7517874233Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control50
Kimberly S Klinetob0042526329IndividualW-2 Managing Employee
Philip Quillard3375450059IndividualOperational/Managerial Control

170 West Avenue Operating Company LLC Portfolio

Facility Location % Own. HPRD Ratings Census Flags
Elderwood of Lakeside at Brockport
170 West Avenue Operating Company LLC
106 residents
2.80Ovr★★★☆☆Stf☆☆☆☆Ins★★★★QM★★★★106

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
01/01/2018Elderwood of Lakeside at Brockport170 West Avenue Operating Company LLCLakeside Beikirch Care Center IncBuyer
  1. 01/01/2018
    Lakeside Beikirch Care Center Inc170 West Avenue Operating Company LLC
Frequent associates · 1
Show associates
NameSharedLink
Lakeside Beikirch Care Center Inc1 CHOW

FEC political contributions FEC contributions Beta

Name match to 170 West Avenue Operating Company LLC in FEC filings. Similar names may appear—confirm on FEC.gov.