Beth Sholom SNF Operations LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 0749644334 Enrollment ID O20230914004217

Linked facilitiesFacilities

StatesStates

13 parties: 11 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Tyler Mackall	3577915321	Individual	W-2 Managing Employee	—
Beth Shalom SNF Operations Holdings LLC	2567826159	Organization	5% or Greater Indirect Ownership Interest	100
Crg Beth Sholom SNF Operations LLC	1850743600	Organization	5% or Greater Indirect Ownership Interest	50
Hvh Beth Sholom SNF Propco Opco Holdings LLC	3173966165	Organization	5% or Greater Indirect Ownership Interest	50
Lion 26 Holdings LLC	9335478197	Organization	5% or Greater Indirect Ownership Interest	24.37
Sabrina 1818 Holdings LLC	1153650908	Organization	5% or Greater Indirect Ownership Interest	24.37
Saessy Irrevocable Trust	1951630110	Organization	5% or Greater Indirect Ownership Interest	23.18
Tatiriq Irrevocable Trust	9133458391	Organization	5% or Greater Indirect Ownership Interest	23.18
Binyomin & Ruchi Holdings LLC	6406208255	Organization	5% or Greater Indirect Ownership Interest	9.25
Devorie & Shloimy Holdings LLC	7113379967	Organization	5% or Greater Indirect Ownership Interest	9.25
Shloimy & Malky Holdings LLC	5991148983	Organization	5% or Greater Indirect Ownership Interest	9.25
Tulchi & Chavi Holdings LLC	7618310608	Organization	5% or Greater Indirect Ownership Interest	9.25
Phillip Sterling	7517139538	Individual	Corporate Officer	—

Tyler MackallPAC 3577915321
IndividualW-2 Managing Employee
Beth Shalom SNF Operations Holdings LLCPAC 2567826159
Organization1005% or Greater Indirect Ownership Interest
Crg Beth Sholom SNF Operations LLCPAC 1850743600
Organization505% or Greater Indirect Ownership Interest
Hvh Beth Sholom SNF Propco Opco Holdings LLCPAC 3173966165
Organization505% or Greater Indirect Ownership Interest
Lion 26 Holdings LLCPAC 9335478197
Organization24.375% or Greater Indirect Ownership Interest
Sabrina 1818 Holdings LLCPAC 1153650908
Organization24.375% or Greater Indirect Ownership Interest
Saessy Irrevocable TrustPAC 1951630110
Organization23.185% or Greater Indirect Ownership Interest
Tatiriq Irrevocable TrustPAC 9133458391
Organization23.185% or Greater Indirect Ownership Interest
Binyomin & Ruchi Holdings LLCPAC 6406208255
Organization9.255% or Greater Indirect Ownership Interest
Devorie & Shloimy Holdings LLCPAC 7113379967
Organization9.255% or Greater Indirect Ownership Interest
Shloimy & Malky Holdings LLCPAC 5991148983
Organization9.255% or Greater Indirect Ownership Interest
Tulchi & Chavi Holdings LLCPAC 7618310608
Organization9.255% or Greater Indirect Ownership Interest
Phillip SterlingPAC 7517139538
IndividualCorporate Officer

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Shalom Gardens Health & Rehabilitation Beth Sholom SNF Operations LLC 98 residents		Other disclo…	3.72	Ovr★☆☆☆☆Stf★☆☆☆☆Ins★★☆☆☆QM★★★☆☆	98

Shalom Gardens Health & Rehabilitation
Beth Sholom SNF Operations LLC
Other disclosed role98 res3.72 HPRD
Overall 1Staffing Staff 1

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
07/01/2023	Shalom Gardens Health & Rehabilitation	Beth Sholom SNF Operations LLC	Beth Sholom Home of Virginia	Buyer

07/01/2023
Shalom Gardens Health & Rehabilitation (Buyer)
Beth Sholom Home of Virginia → Beth Sholom SNF Operations LLC

Related CMS associates

Name match to Beth Sholom SNF Operations LLC in FEC filings. Similar names may appear—confirm on FEC.gov.