TRI-STATE Village Nursing and Rehabilitation Center LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9638417314 Enrollment ID O20190206000066

Details

Linked facilitiesFacilities
1
StatesStates
1

28 parties: 14 organizations · 14 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Yaacov Mashiach3577838408Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control20
Yechiel Mashiach0840328670Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control20
Khaja Asadullah6103874615IndividualOperational/Managerial Control; ADP of the SNF
Yehoshua Aryeh Mashiach9537675681IndividualOperational/Managerial Control; ADP of the SNF
Atied Associates LLC2466524202Organization5% or Greater Direct Ownership Interest20
Rhonda Mashiach9638414303Individual5% or Greater Direct Ownership Interest20
Rita Lipshitz8022243187Individual5% or Greater Direct Ownership Interest20
Unknown party5890201941OrganizationIndirect Ownership Interest3
Unknown party7618483769OrganizationADP of the SNF; Indirect Ownership Interest3
Unknown party0345756490OrganizationIndirect Ownership Interest1
Unknown party1254847304OrganizationIndirect Ownership Interest1
Unknown party2163938218OrganizationIndirect Ownership Interest1
Unknown party2365958410IndividualIndirect Ownership Interest1
Unknown party3072029123OrganizationIndirect Ownership Interest1
Unknown party3173039229IndividualIndirect Ownership Interest1
Unknown party3274049325IndividualIndirect Ownership Interest1
Unknown party4082120134OrganizationIndirect Ownership Interest1
Unknown party4981110038OrganizationIndirect Ownership Interest1
Unknown party5092221143IndividualIndirect Ownership Interest1
Unknown party5991211047OrganizationIndirect Ownership Interest1
Unknown party6901312057IndividualIndirect Ownership Interest1
Unknown party7719493865IndividualIndirect Ownership Interest1
Unknown party8628584778IndividualIndirect Ownership Interest1
Unknown party7517473663OrganizationADP of the SNF
Unknown party8426564576OrganizationADP of the SNF
Show all 28 parties (3 more)
NameOwner/control PACTypeRole(s)%
Yaacov Mashiach3577838408Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control20
Yechiel Mashiach0840328670Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control20
Khaja Asadullah6103874615IndividualOperational/Managerial Control; ADP of the SNF
Yehoshua Aryeh Mashiach9537675681IndividualOperational/Managerial Control; ADP of the SNF
Atied Associates LLC2466524202Organization5% or Greater Direct Ownership Interest20
Rhonda Mashiach9638414303Individual5% or Greater Direct Ownership Interest20
Rita Lipshitz8022243187Individual5% or Greater Direct Ownership Interest20
Unknown party5890201941OrganizationIndirect Ownership Interest3
Unknown party7618483769OrganizationADP of the SNF; Indirect Ownership Interest3
Unknown party0345756490OrganizationIndirect Ownership Interest1
Unknown party1254847304OrganizationIndirect Ownership Interest1
Unknown party2163938218OrganizationIndirect Ownership Interest1
Unknown party2365958410IndividualIndirect Ownership Interest1
Unknown party3072029123OrganizationIndirect Ownership Interest1
Unknown party3173039229IndividualIndirect Ownership Interest1
Unknown party3274049325IndividualIndirect Ownership Interest1
Unknown party4082120134OrganizationIndirect Ownership Interest1
Unknown party4981110038OrganizationIndirect Ownership Interest1
Unknown party5092221143IndividualIndirect Ownership Interest1
Unknown party5991211047OrganizationIndirect Ownership Interest1
Unknown party6901312057IndividualIndirect Ownership Interest1
Unknown party7719493865IndividualIndirect Ownership Interest1
Unknown party8628584778IndividualIndirect Ownership Interest1
Unknown party7517473663OrganizationADP of the SNF
Unknown party8426564576OrganizationADP of the SNF
Unknown party0446766596IndividualADP of the SNF
Unknown party6709392855OrganizationADP of the SNF
Gemino Healthcare Finance LLC8325271752Organization5% or Greater Security Interest

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
TRI-STATE Village Nrsg & Rhb
TRI-STATE Village Nursing and Rehabilitation Center LLC
79 residents
Other disclo…
3.29Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★☆☆☆79
  • TRI-STATE Village Nursing and Rehabilitation Center LLC
    Other disclosed role79 res3.29 HPRD
    Overall 2Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
12/01/2018TRI-STATE Village Nrsg & RhbTRI-STATE Village Nursing and Rehabilitation Center LLCTRI-STATE Nursing & Rehabilitation Center IncBuyer
  1. 12/01/2018
    TRI-STATE Nursing & Rehabilitation Center IncTRI-STATE Village Nursing and Rehabilitation Center LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to TRI-STATE Village Nursing and Rehabilitation Center LLC in FEC filings. Similar names may appear—confirm on FEC.gov.