Bloomer Nursing and Rehab LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8820421530 Enrollment ID O20191211001988

Details

Linked facilitiesFacilities
1
StatesStates
1

11 parties: 5 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Mitul R Lindemann9234383019IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF100
Kaiya Shrader6709302557IndividualOperational/Managerial Control; ADP of the SNF
Erik Joel Dickson5496736209IndividualOperational/Managerial Control; ADP of the SNF
Synergy Senior Care LLC7618491234OrganizationOperational/Managerial Control; ADP of the SNF
Boris Maslovsky6901139617Individual5% or Greater Direct Ownership Interest; ADP of the SNF50
Rostislav Pukshansky4688945694Individual5% or Greater Direct Ownership Interest; ADP of the SNF50
Barbara M Vander Velden1456639004IndividualCorporate Director; ADP of the SNF100
Bloomer Nursing Realty LLC0446776298OrganizationADP of the SNF
Reinhart Boerner Van Deuren S.C.6800310426OrganizationADP of the SNF
Roth & Co, LLP3173053162OrganizationADP of the SNF
Wipfli LLP4486938859OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Meadowbrook at Bloomer
Bloomer Nursing and Rehab LLC
27 residents
Other disclo…
4.00Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM★★★☆☆27
  • Bloomer Nursing and Rehab LLC
    Other disclosed role27 res4.00 HPRD
    Overall 3Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
12/01/2019Meadowbrook at BloomerBloomer Nursing and Rehab LLC1840 Priddy Street Operating Company, LLCBuyer
  1. 12/01/2019
    1840 Priddy Street Operating Company, LLCBloomer Nursing and Rehab LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Bloomer Nursing and Rehab LLC in FEC filings. Similar names may appear—confirm on FEC.gov.