Daytona Beach Fl Opco LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 1658776513 Enrollment ID O20210816003952

Linked facilitiesFacilities

StatesStates

4 parties: 0 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Keith Demons	0648675504	Individual	W-2 Managing Employee	—
Naftali Zanziper	6305008202	Individual	5% or Greater Direct Ownership Interest	50
Simcha Melech Hyman	1850553751	Individual	5% or Greater Direct Ownership Interest	50
Batya Gorelick	0941638225	Individual	Corporate Officer	—

Keith DemonsPAC 0648675504
IndividualW-2 Managing Employee
Naftali ZanziperPAC 6305008202
Individual505% or Greater Direct Ownership Interest
Simcha Melech HymanPAC 1850553751
Individual505% or Greater Direct Ownership Interest
Batya GorelickPAC 0941638225
IndividualCorporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Beach Street Health and Rehabilitation Center Daytona Beach Fl Opco LLC 93 residents		Other disclo…	4.02	Ovr★★★★☆Stf★★★★☆Ins★★★☆☆QM★★★★★	93

Beach Street Health and Rehabilitation Center
Daytona Beach Fl Opco LLC
Other disclosed role93 res4.02 HPRD
Overall 4Staffing Staff 4

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
05/07/2020	Beach Street Health and Rehabilitation Center	Daytona Beach Fl Opco LLC	Sandalwood Operating LLC	Buyer

05/07/2020
Beach Street Health and Rehabilitation Center (Buyer)
Sandalwood Operating LLC → Daytona Beach Fl Opco LLC

Related CMS associates

Name match to Daytona Beach Fl Opco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.