PBJ320 Ownership

1019 Wicker Street Operating Company LLC

Provider / enrollment organizationNew York
Enrollment PAC9133482342Enrollment IDO20180420000477

By state

State#
NY1
Total1

Details

Enrollment entity. CMS facility enrollment PAC with linked owners, facilities, and any ownership transactions in CMS data.
Facilities
1
Avg overall rating
2.0
Weighted total nurse HPRD
2.91
Avg staffing rating
2.0

5 parties: 1 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
1019 Wicker Street Operating Holdco LLC6204199417Organization5% or Greater Direct Ownership Interest100
Jeffrey Rubin7315854270Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control50
Warren D Cole7517874233Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control50
Douglas E Cosey5193786952IndividualW-2 Managing Employee
Philip Quillard3375450059IndividualCorporate Officer; Operational/Managerial Control

1019 Wicker Street Operating Company LLC Portfolio

Facility Location % Own. HPRD Ratings Census Flags
Elderwood at Ticonderoga
1019 Wicker Street Operating Company LLC
80 residents
2.91Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★☆☆☆80
  • Elderwood at Ticonderoga1019 Wicker Street Operating Company LLC
    80 res2.91 HPRD
    Ovr 2Stf 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
04/10/2018Elderwood at Ticonderoga1019 Wicker Street Operating Company LLCMoses- Ludington Nursing Home Company IncBuyer
  1. 04/10/2018
    Moses- Ludington Nursing Home Company Inc1019 Wicker Street Operating Company LLC
Frequent associates · 1
Show associates
NameSharedLink
Moses- Ludington Nursing Home Company Inc1 CHOW

FEC political contributions FEC contributions Beta

Name match to 1019 Wicker Street Operating Company LLC in FEC filings. Similar names may appear—confirm on FEC.gov.