Edgewood Manor of Lucasville II LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9436413952 Enrollment ID O20180509003046

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Aom Healthcare LLC9931463908OrganizationOperational/Managerial Control
Thomas Barr5496907487IndividualW-2 Managing Employee
Jeffery Goldstein3375792120Individual5% or Greater Direct Ownership Interest; Corporate Officer20.5
Samuel Sherman3072610997Individual5% or Greater Direct Ownership Interest; Corporate Officer20.5
Alexander Sherman6709103286Individual5% or Greater Direct Ownership Interest; Corporate Officer17
Serenity Equity Holdings LLC4486918455Organization5% or Greater Direct Ownership Interest16
Zw Aom Re LLC9830453802Organization5% or Greater Direct Ownership Interest16
Zalman Wagschal2264796176Individual5% or Greater Indirect Ownership Interest16
Zaleman Horowitz9830416312Individual5% or Greater Indirect Ownership Interest7.2
David Weinberger6002170537Individual5% or Greater Indirect Ownership Interest5

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Edgewood Manor of Lucasville II
Edgewood Manor of Lucasville II LLC
68 residents
Other disclo…
3.10Ovr★★★★Stf☆☆☆☆Ins★★★★QM★★★★★68
  • Edgewood Manor of Lucasville II LLC
    Other disclosed role68 res3.10 HPRD
    Overall 4Staffing Staff 1

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
09/18/2017Edgewood Manor of Lucasville IIEdgewood Manor of Lucasville II LLCLucasville II Facility Operations, LLCBuyer
  1. 09/18/2017
    Lucasville II Facility Operations, LLCEdgewood Manor of Lucasville II LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Edgewood Manor of Lucasville II LLC in FEC filings. Similar names may appear—confirm on FEC.gov.