The Pavilion at Jacksonville for Nursing and Rehabilitation LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8820407216 Enrollment ID O20210517000103

Details

Linked facilitiesFacilities
1
StatesStates
1

16 parties: 8 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Rafael Moerman7012283047IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest35
Joseph H Lewis2365708799IndividualOperational/Managerial Control; ADP of the SNF
Akiva Krieser6002192002IndividualOperational/Managerial Control
Ezra Birnbaum1850790528Individual5% or Greater Indirect Ownership Interest; Indirect Ownership Interest22.5
Pavilion Holdings LLC8820497597OrganizationADP of the SNF; Direct Ownership Interest100
Ftk Capital LLC8628477395OrganizationADP of the SNF; Indirect Ownership Interest22.5
NPNH1 LLC1456750124OrganizationADP of the SNF; Indirect Ownership Interest22.5
Simon Singer5496154163IndividualIndirect Ownership Interest22.5
Azriel Inzelbuch2769881739IndividualADP of the SNF; Indirect Ownership Interest15
Shaye Hirsch6305245077IndividualIndirect Ownership Interest5
Shs Keren LLC9739559543OrganizationADP of the SNF; Indirect Ownership Interest5
Fasten Halberstam LLP8224548169OrganizationADP of the SNF
Pavilion Management Group LLC9739696170OrganizationADP of the SNF
Powerback Rehabilitation LLC2365359932OrganizationADP of the SNF
Richards Mitchell & Cross Pa6204355241OrganizationADP of the SNF
Zhi J Yu1153447461IndividualADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Pavilion at Jacksonville, the
The Pavilion at Jacksonville for Nursing and Rehabilitation LLC
57 residents
Other disclo…
3.35Ovr★★★★Stf★★★☆☆Ins★★★☆☆QM★★★★★57
  • The Pavilion at Jacksonville for Nursing and Rehabilitation LLC
    Other disclosed role57 res3.35 HPRD
    Overall 4Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
05/01/2021Pavilion at Jacksonville, theThe Pavilion at Jacksonville for Nursing and Rehabilitation LLCEdgewood Nursing Center IncBuyer
  1. 05/01/2021
    Edgewood Nursing Center IncThe Pavilion at Jacksonville for Nursing and Rehabilitation LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to The Pavilion at Jacksonville for Nursing and Rehabilitation LLC in FEC filings. Similar names may appear—confirm on FEC.gov.