Coronado Bay, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 0840679981 Enrollment ID O20220621002672

Details

Linked facilitiesFacilities
1
StatesStates
1

21 parties: 3 organizations · 18 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Kalesta Healthcare Group, LLC7810240488Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control100
Ryan Williams6002043015Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control44.05
Ethan D Flake0446636948IndividualCorporate Director; Operational/Managerial Control
Rachandeep Singh6507930559IndividualOperational/Managerial Control; ADP of the SNF
Steven Mosher6305324088IndividualCorporate Director; Operational/Managerial Control
Steven Jones7315071883IndividualCorporate Officer; Operational/Managerial Control
Cortney Hinkle5496233173IndividualCorporate Director; Operational/Managerial Control
Jeffrey Murray9931599859IndividualCorporate Director; Operational/Managerial Control
Samira Said1254811938IndividualOperational/Managerial Control; ADP of the SNF
Kalilah Knight3072093756IndividualOperational/Managerial Control
Steven Bush4981184660IndividualOperational/Managerial Control; ADP of the SNF
Domonique Fields2769960442IndividualCorporate Director; Operational/Managerial Control
Ishankumar R Modi0749306603IndividualCorporate Director; Operational/Managerial Control
Kai Shin Chen7911403274IndividualCorporate Officer; Operational/Managerial Control
Michael Soares7113405895IndividualCorporate Director; Operational/Managerial Control
Oscar Alvarenga2163902842IndividualOperational/Managerial Control
Scott Clawson0648409938Individual5% or Greater Indirect Ownership Interest; Corporate Officer44.05
Micah Porter1658750799Individual5% or Greater Indirect Ownership Interest7
Scott Clawson4385644368IndividualIndirect Ownership Interest4.9
Unknown party4981184652OrganizationADP of the SNF
Texas Capital Bank Na7315105012Organization5% or Greater Security Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Harvest Crossing Post Acute
Coronado Bay, LLC
91 residents
Other disclo…
4.41Ovr★★☆☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★★91
  • Coronado Bay, LLC
    Other disclosed role91 res4.41 HPRD
    Overall 2Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
11/01/2021Harvest Crossing Post AcuteCoronado Bay, LLCPalm Haven Nursing & Rehab LLCBuyer
  1. 11/01/2021
    Palm Haven Nursing & Rehab LLCCoronado Bay, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Coronado Bay, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.