Casa Coloma Holdings LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 2365869922 Enrollment ID O20200827000744

Details

Linked facilitiesFacilities
1
StatesStates
1

12 parties: 1 organizations · 11 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Richard Martin8527296896Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF50
Nischal Thapa1456837541IndividualOperational/Managerial Control; ADP of the SNF
Redentor Batin Calabazaron2365928454IndividualOperational/Managerial Control; ADP of the SNF
Teresita Bianan Abenojar9032693718IndividualOperational/Managerial Control; ADP of the SNF
Jane Lata-gokul2769966449IndividualOperational/Managerial Control; ADP of the SNF
Ravi Chinthakindi5395890479IndividualOperational/Managerial Control; ADP of the SNF
Tanner John Wilson7214411990IndividualOperational/Managerial Control; ADP of the SNF
Dzmitry D Kazlou3678057353IndividualOperational/Managerial Control; ADP of the SNF
Debbie Cubero Castaneda0941784623IndividualOperational/Managerial Control; ADP of the SNF
Michael D Jones1951644285IndividualOperational/Managerial Control; ADP of the SNF
Bvhc, LLC1355680588Organization5% or Greater Direct Ownership Interest100
Bryan Boehrer4688985708IndividualIndirect Ownership Interest50

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Casa Coloma Health Care Center
Casa Coloma Holdings LLC
132 residents
Other disclo…
4.18Ovr★★☆☆☆Stf★★★★Ins★★☆☆☆QM★★★★132
  • Casa Coloma Holdings LLC
    Other disclosed role132 res4.18 HPRD
    Overall 2Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
06/30/2020Casa Coloma Health Care CenterCasa Coloma Holdings LLCAbcd AssociatesBuyer
  1. 06/30/2020
    Abcd AssociatesCasa Coloma Holdings LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Casa Coloma Holdings LLC in FEC filings. Similar names may appear—confirm on FEC.gov.