Phe Skilled Nursing Facility LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9830563279 Enrollment ID O20230325000087

Details

Linked facilitiesFacilities
1
StatesStates
1

6 parties: 4 organizations · 2 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Legacy Healthcare Financial Services LLC5799046132OrganizationOperational/Managerial Control
Valerie Elizabeth Perkovic8325270150IndividualW-2 Managing Employee
Gpn Family Trust U/A/D 4/28/085294988994Organization5% or Greater Direct Ownership Interest59.5
Doros Generation Trust U/A/D 1/3/126901110428Organization5% or Greater Indirect Ownership Interest25.5
Oakway Operations LLC6103212279Organization5% or Greater Indirect Ownership Interest15
Menachem Shabat3072526219IndividualCorporate Officer

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Avantara Palos Heights
Phe Skilled Nursing Facility LLC
156 residents
Other disclo…
3.69Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★☆☆156
  • Phe Skilled Nursing Facility LLC
    Other disclosed role156 res3.69 HPRD
    Overall 2Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
02/01/2023Avantara Palos HeightsPhe Skilled Nursing Facility LLCManor Care of Palos Heights IL LLCBuyer
  1. 02/01/2023
    Manor Care of Palos Heights IL LLCPhe Skilled Nursing Facility LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Phe Skilled Nursing Facility LLC in FEC filings. Similar names may appear—confirm on FEC.gov.