Mission Point of Superior Woods LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 2668880584 Enrollment ID O20210414000993

Linked facilitiesFacilities

StatesStates

4 parties: 2 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Delores Harris	6709294622	Individual	W-2 Managing Employee	—
Mission Point Metro Holding LLC	3870900301	Organization	5% or Greater Direct Ownership Interest	100
Hari R Mali	4688841422	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer	100
Smv Superior Township LLC	7618385535	Organization	Other	—

Delores HarrisPAC 6709294622
IndividualW-2 Managing Employee
Mission Point Metro Holding LLCPAC 3870900301
Organization1005% or Greater Direct Ownership Interest
Hari R MaliPAC 4688841422
Individual1005% or Greater Indirect Ownership Interest; Corporate Officer
Smv Superior Township LLCPAC 7618385535
OrganizationOther

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Villa at Willow Place Mission Point of Superior Woods LLC 89 residents		Other disclo…	3.46	Ovr★★★☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★★	89

Villa at Willow Place
Mission Point of Superior Woods LLC
Other disclosed role89 res3.46 HPRD
Overall 3Staffing Staff 2

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
04/01/2021	Villa at Willow Place	Mission Point of Superior Woods LLC	Ssc Superior Township Operating Company LLC	Buyer

04/01/2021
Villa at Willow Place (Buyer)
Ssc Superior Township Operating Company LLC → Mission Point of Superior Woods LLC

Related CMS associates

Name match to Mission Point of Superior Woods LLC in FEC filings. Similar names may appear—confirm on FEC.gov.