Sb Opco LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 9133452394 Enrollment ID O20190604000943

Linked facilitiesFacilities

StatesStates

3 parties: 1 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Nathan Rose	6507240629	Individual	Corporate Director; W-2 Managing Employee	—
Mirlis Children Trust	9830575752	Organization	5% or Greater Direct Ownership Interest	100
Eliyahu Mirlis	5698072395	Individual	Corporate Officer	—

Nathan RosePAC 6507240629
IndividualCorporate Director; W-2 Managing Employee
Mirlis Children TrustPAC 9830575752
Organization1005% or Greater Direct Ownership Interest
Eliyahu MirlisPAC 5698072395
IndividualCorporate Officer

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Civita Care Center at Salmon Brook Sb Opco LLC 112 residents		Other disclo…	4.21	Ovr★☆☆☆☆Stf★★★★☆Ins★☆☆☆☆QM★★★★☆	112

Civita Care Center at Salmon Brook
Sb Opco LLC
Other disclosed role112 res4.21 HPRD
Overall 1Staffing Staff 4

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
05/01/2019	Civita Care Center at Salmon Brook	Sb Opco LLC	72 Salmon Brook Drive Operations LLC	Buyer

05/01/2019
Civita Care Center at Salmon Brook (Buyer)
72 Salmon Brook Drive Operations LLC → Sb Opco LLC

Related CMS associates

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