383 MILL Street Operator LLC

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 9537431937 Enrollment ID O20170821000073

Facilities by state

  • MA1

Details

Linked facilitiesFacilities
1

5 parties: 1 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Next Step Healthcare LLC8527330182Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Pankaj A Ksheersagar6608929740IndividualOperational/Managerial Control; ADP of the SNF
Kimberly Ward1153707575IndividualOperational/Managerial Control; ADP of the SNF
William Stephan1153239975Individual5% or Greater Indirect Ownership Interest50
Damian Dell'anno8123064557IndividualCorporate Officer; Indirect Ownership Interest50

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Hermitage Healthcare (the)
383 MILL Street Operator LLC
89 residents
Other disclo…
3.74Ovr★★☆☆☆Stf★★★☆☆Ins★★★☆☆QM☆☆☆☆89
  • 383 MILL Street Operator LLC
    Other disclosed role89 res3.74 HPRD
    Overall 2Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
09/01/2017Hermitage Healthcare (the)383 MILL Street Operator LLCGgnsc Worcester LLCBuyer
  1. 09/01/2017
    Ggnsc Worcester LLC383 MILL Street Operator LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to 383 MILL Street Operator LLC in FEC filings. Similar names may appear—confirm on FEC.gov.