Community Care on Palm Riverside, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8921415183 Enrollment ID O20210406000747

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 0 organizations · 10 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Ezequiel Bercovich7113265125Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Shahrzad Jannat1759796386IndividualOperational/Managerial Control100
Derek Hoa-thanh Nguyen1759331291IndividualOperational/Managerial Control; ADP of the SNF
Anoop Jetti3375051535IndividualOperational/Managerial Control; ADP of the SNF
Abraham Bak4183857782IndividualADP of the SNF
Menachem Gastwirth9537392139IndividualADP of the SNF
Unknown party0648768499IndividualADP of the SNF
Unknown party1456849207IndividualADP of the SNF
Unknown party3274021027IndividualADP of the SNF
Unknown party8729576574IndividualADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Community Care on Palm
Community Care on Palm Riverside, LLC
48 residents
Other disclo…
4.54Ovr★★★★Stf★★★★Ins★★★☆☆QM★★★★★48
  • Community Care on Palm Riverside, LLC
    Other disclosed role48 res4.54 HPRD
    Overall 4Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
01/01/2021Community Care on PalmCommunity Care on Palm Riverside, LLCSouth Coast Health & Wellness CorporationBuyer
  1. 01/01/2021
    South Coast Health & Wellness CorporationCommunity Care on Palm Riverside, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Community Care on Palm Riverside, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.