1030 Warner Avenue I Opco LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 2062876154 Enrollment ID O20230907002357

Details

Linked facilitiesFacilities
1
StatesStates
1

9 parties: 4 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Pamela Shaw5991169336IndividualOperational/Managerial Control
Miguel Hurtado7911895735IndividualOperational/Managerial Control; ADP of the SNF
Christopher E Salem5092852145IndividualOperational/Managerial Control; ADP of the SNF
Aaron H Robin8426969536Individual5% or Greater Indirect Ownership Interest; Corporate Officer50
Avrohom L Tress5799087821Individual5% or Greater Indirect Ownership Interest; Corporate Officer50
9560 Pico LLC0648608315Organization5% or Greater Indirect Ownership Interest50
Pico Ar LLC2466880133Organization5% or Greater Indirect Ownership Interest50
Meshuga 2 Realty Holdings LLC1951884642OrganizationADP of the SNF
Newgen Administrative Services, LLC3971025081OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
South Coast Post Acute
1030 Warner Avenue I Opco LLC
241 residents
Other disclo…
3.51Ovr★★☆☆☆Stf★★★★Ins★★☆☆☆QM★★★★241
  • 1030 Warner Avenue I Opco LLC
    Other disclosed role241 res3.51 HPRD
    Overall 2Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
03/24/2023South Coast Post Acute1030 Warner Avenue I Opco LLCRoyale Health Care Center Inc.Buyer
  1. 03/24/2023
    Royale Health Care Center Inc.1030 Warner Avenue I Opco LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to 1030 Warner Avenue I Opco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.