Royal Senior Management

Avi Bittan
Chief Executive Officer


Avi, founder of Royal Senior Care in 2002. His guidance has lead the company to a successful path of growth and profit. Previously, he was the CEO of the Palace Group in S. Florida for twelve years. During that time he developed two campuses totaling 1,120 beds including several Alf's, Nursing Homes, ILF's and an ancillary service company (Home Health). Avi has created and implemented a totally unique management system which has proven great results.

This system is tailored to fit a healthcare and hospitality model and had aided managers in achieving the best results. He is personally involved in all aspects of the communities including operations, marketing and construction. Avi served 27 years in the Israeli Air force and is a retired Colonel.

Edward Matera
Chief Financial Officer


Edward is responsible for all financial reporting and analysis. He manages all accounting operations including billing, accounts payable and payroll as well as drives the budget preparation process.

Edward has 30 years of experience in the accounting field. He has a Bachelor of Science degree in Financial Accounting from State University of New York, College of Old Westbury.

Miriam Pino
Director of Design & Development


Miriam serves on the company's development arm with a focus on developing new and existing properties, capital improvements and major renovations. Her responsibilities include site selection, feasibility analysis, government approvals, project programming, planning & management.

She is also responsible for the design, purchasing and delivering the building to the operations team. She has been in the Design & Construction industry for 30 years including 23 years in the Senior Healthcare Industry and has a Bachelors of Arts in Architecture from the University of Miami.

Larry Mankoff
Regional Director of Operations


Larry is the Regional Director of Operations for the South Carolina properties. He has been associated with Royal Senior Care for over ten years. Larry has transitioned over ten communities into the Royal System, as well as, assisting in remodels and additions to existing communities. He has held State and local elected offices in Florida Health Care Association, appointed by Florida's Governor to the Long Term Care Ombudsman Council District one and been published on Adult Day Care.

He started his career in Long Term Care as a maintenance assistant, worked almost every position in Skilled and Assisted Communities. Larry is a licensed nursing home administrator in three states. Has owned and managed communities, as well as ancillary service companies.

Larry graduated from Kent State University, served in the United States Peace Corps and attended Thunderbird Graduate School of Global Management.

Alex Sarmiento
Regional Director of Operations


Alex is the Regional Director of Operations for the Florida Properties. He has been with Royal Senior Care for 6 years. During that time he has been responsible for the operations of over 1,000 beds as well as several special projects. He recently was responsible for the opening of our new 114 bed Assisted Living and Memory Care Community on our 25 acre campus at Oakmonte Village. All Managerial hiring’s, pre-opening and operational budgets, licensing and inspections were spearheaded by Alex.

He now is responsible for the operations and directly involved with community budgets and the overall outcome for over 500 units. Alex has 20 years in the Senior Healthcare Industry and has Past clinical experience with his Science Degree in Cardiopulmonary.