Buckeye Forest at Jackson LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9739573007 Enrollment ID O20220302001779

Details

Linked facilitiesFacilities
1
StatesStates
1

7 parties: 0 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Abba Stein7517215684Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF50
Solomon Kazarnovsky2062760135Individual5% or Greater Direct Ownership Interest; Corporate Officer; Operational/Managerial Control50
Adam Cusner4688198633IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Eliezer Goldish3779007729IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Jeffrey Degyansky6305196536IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Unknown party7911422746IndividualADP of the SNF
Unknown party6103341938IndividualADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Ayden Healthcare of Jackson
Buckeye Forest at Jackson LLC
60 residents
Other disclo…
3.06Ovr★★★★Stf★★☆☆☆Ins★★★★QM★★★★60
  • Buckeye Forest at Jackson LLC
    Other disclosed role60 res3.06 HPRD
    Overall 4Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
12/31/2021Ayden Healthcare of JacksonBuckeye Forest at Jackson LLCJackson Healthcare LLCBuyer
  1. 12/31/2021
    Jackson Healthcare LLCBuckeye Forest at Jackson LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Buckeye Forest at Jackson LLC in FEC filings. Similar names may appear—confirm on FEC.gov.