Harmon House Health & Rehab Center, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 9931561388 Enrollment ID O20230816002943

Linked facilitiesFacilities

StatesStates

16 parties: 10 organizations · 6 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Saber Governance LLC	4082946025	Organization	Operational/Managerial Control	100
Dolores J Nasri	0547558587	Individual	Operational/Managerial Control	—
Keana Myers	5991175911	Individual	Operational/Managerial Control; ADP of the SNF	—
Shg Management LLC	4082046800	Organization	Operational/Managerial Control; ADP of the SNF	—
Saber Healthcare Holdings LLC	0547443889	Organization	5% or Greater Direct Ownership Interest	100
Saber Pa Holdings, LLC	4981043908	Organization	5% or Greater Direct Ownership Interest	100
Shh Holdings LLC	9537495916	Organization	5% or Greater Indirect Ownership Interest	100
Wwbv Holdings LLC	1355677733	Organization	5% or Greater Indirect Ownership Interest	100
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020	9638330749	Organization	5% or Greater Indirect Ownership Interest; ADP of the SNF	67
Wiw Dynasty LLC	6800150111	Organization	5% or Greater Indirect Ownership Interest	67
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)	2163758541	Organization	5% or Greater Indirect Ownership Interest; ADP of the SNF	33
Bnv Dynasty LLC	4789091513	Organization	5% or Greater Indirect Ownership Interest; ADP of the SNF	33
Benjamin N Volpe	4880850502	Individual	Corporate Officer; Corporate Director	50
William I Weisberg	7113834037	Individual	Corporate Officer; Corporate Director	50
Gregory Nicoluzakis	3870829252	Individual	Corporate Officer	—
Rachel A Shipley	5991999229	Individual	ADP of the SNF	—

Saber Governance LLCPAC 4082946025
Organization100Operational/Managerial Control
Dolores J NasriPAC 0547558587
IndividualOperational/Managerial Control
Keana MyersPAC 5991175911
IndividualOperational/Managerial Control; ADP of the SNF
Shg Management LLCPAC 4082046800
OrganizationOperational/Managerial Control; ADP of the SNF
Saber Healthcare Holdings LLCPAC 0547443889
Organization1005% or Greater Direct Ownership Interest
Saber Pa Holdings, LLCPAC 4981043908
Organization1005% or Greater Direct Ownership Interest
Shh Holdings LLCPAC 9537495916
Organization1005% or Greater Indirect Ownership Interest
Wwbv Holdings LLCPAC 1355677733
Organization1005% or Greater Indirect Ownership Interest
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020PAC 9638330749
Organization675% or Greater Indirect Ownership Interest; ADP of the SNF
Wiw Dynasty LLCPAC 6800150111
Organization675% or Greater Indirect Ownership Interest
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)PAC 2163758541
Organization335% or Greater Indirect Ownership Interest; ADP of the SNF
Bnv Dynasty LLCPAC 4789091513
Organization335% or Greater Indirect Ownership Interest; ADP of the SNF
Benjamin N VolpePAC 4880850502
Individual50Corporate Officer; Corporate Director
William I WeisbergPAC 7113834037
Individual50Corporate Officer; Corporate Director
Gregory NicoluzakisPAC 3870829252
IndividualCorporate Officer
Rachel A ShipleyPAC 5991999229
IndividualADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Harmon House Health & Rehab Center Harmon House Health & Rehab Center, LLC 100 residents		Other disclo…	3.69	Ovr★★★☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★★★	100

Harmon House Health & Rehab Center
Harmon House Health & Rehab Center, LLC
Other disclosed role100 res3.69 HPRD
Overall 3Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
07/01/2023	Harmon House Health & Rehab Center	Harmon House Health & Rehab Center, LLC	Harmon House Care Center, LLC	Buyer

07/01/2023
Harmon House Health & Rehab Center (Buyer)
Harmon House Care Center, LLC → Harmon House Health & Rehab Center, LLC

Related CMS associates

Name match to Harmon House Health & Rehab Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.