1530 Broad Avenue Operations, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9638566904 Enrollment ID O20220505001023

Details

Linked facilitiesFacilities
1
StatesStates
1

18 parties: 13 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
SNF Mgr LLC4688186810OrganizationOperational/Managerial Control; ADP of the SNF
Tequilla Jones8022520253IndividualOperational/Managerial Control; ADP of the SNF
Dennis Barnett0143737916IndividualOperational/Managerial Control; ADP of the SNF
Ashley Winkle0547781726IndividualOperational/Managerial Control; ADP of the SNF
Phillip D Compton3476631458IndividualOperational/Managerial Control; ADP of the SNF
Tiffany Hoback7315391984IndividualManaging Control - Governing Body; ADP of the SNF
Fglfc Holdco, LLC1254728520OrganizationDirect Ownership Interest100
Fc Investors XXI LLC3870752850OrganizationIndirect Ownership Interest100
Lavie Holdco LLC9638569452OrganizationIndirect Ownership Interest100
LV Investment LLC0143489120OrganizationIndirect Ownership Interest100
Nspr Care Centers, LLC6800147463OrganizationIndirect Ownership Interest100
Nspr Operations I, LLC7618228271OrganizationIndirect Ownership Interest100
Nspr Operations II, LLC0345591905OrganizationIndirect Ownership Interest100
Unknown party8426565292OrganizationADP of the SNF
Unknown party0244747012OrganizationADP of the SNF
Unknown party1153838925OrganizationADP of the SNF
Unknown party9335656107OrganizationADP of the SNF
Unknown party7517474380OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Coastal Health and Rehabilitation Center
1530 Broad Avenue Operations, LLC
128 residents
Other disclo…
3.18Ovr☆☆☆☆Stf★★☆☆☆Ins☆☆☆☆QM★★☆☆☆128

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
04/01/2022Coastal Health and Rehabilitation Center1530 Broad Avenue Operations, LLCMs Hud Boyington LLCBuyer
  1. 04/01/2022
    Ms Hud Boyington LLC1530 Broad Avenue Operations, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to 1530 Broad Avenue Operations, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.