Riverside SNF LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8921490475 Enrollment ID O20220113001884

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 12 organizations · 1 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Rsbrm South Manager LLC2769887421OrganizationOperational/Managerial Control100
Adam G Wiley8022262799IndividualCorporate Director; W-2 Managing Employee100
Riverside Holdings I LLC9436541141Organization5% or Greater Direct Ownership Interest100
Springrock South LLC0749685485Organization5% or Greater Indirect Ownership Interest75
Drm South LLC7315342078Organization5% or Greater Indirect Ownership Interest25
Lauren 2020 LLC0648675389Organization5% or Greater Indirect Ownership Interest23.75
Norman 5571 & Family LLC1658776398Organization5% or Greater Indirect Ownership Interest23.75
Robin 2008 LLC7911302658Organization5% or Greater Indirect Ownership Interest23.75
Saul 2012 Family Grantor Trust4688002405Organization5% or Greater Indirect Ownership Interest23.75
Edward 1998 Family Grantor Trust8224466040Organization5% or Greater Indirect Ownership Interest22.56
Charles 1994 Family Grantor Trust1951739770Organization5% or Greater Indirect Ownership Interest21.37
Rl 2008 Family Trust1951706613Organization5% or Greater Indirect Ownership Interest10
Ck 2008 Family Trust8123423886Organization5% or Greater Indirect Ownership Interest5

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Riverside Health & Rehab Cntr
Riverside SNF LLC
174 residents
Other disclo…
2.96Ovr★★★☆☆Stf☆☆☆☆Ins★★★★QM★★☆☆☆174

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
05/28/2021Riverside Health & Rehab CntrRiverside SNF LLCMedical Facilities of America XXIIBuyer
  1. 05/28/2021
    Medical Facilities of America XXIIRiverside SNF LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Riverside SNF LLC in FEC filings. Similar names may appear—confirm on FEC.gov.