533 South Fairfax Avenue Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 2769527910 Enrollment ID O20100226000724

Details

Linked facilitiesFacilities
1
StatesStates
1

20 parties: 7 organizations · 13 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Simcha Mandelbaum2466346614IndividualOperational/Managerial Control; ADP of the SNF
Roger Teoxon6507352952IndividualOperational/Managerial Control; ADP of the SNF
Maria Quilang-ayos7315433760IndividualOperational/Managerial Control; ADP of the SNF
Alfred Garcia1052807401IndividualOperational/Managerial Control; ADP of the SNF
Gary I Gutkin0345300729IndividualOperational/Managerial Control; ADP of the SNF
Julie Pham0648412486IndividualOperational/Managerial Control; ADP of the SNF
Maria Castro-garcia4688061286IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Matthew Punzalan5698261048IndividualOperational/Managerial Control; ADP of the SNF
Kathleen Nguyen2961998315IndividualOperational/Managerial Control; ADP of the SNF
Sheena Bardonido5799271144IndividualOperational/Managerial Control; ADP of the SNF
Jose Campos9234625682IndividualOperational/Managerial Control; ADP of the SNF
Clinton Williams9931616521IndividualOperational/Managerial Control; ADP of the SNF
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 24789079807Organization5% or Greater Direct Ownership Interest; Trustee of the SNF50
Simcha and Janet Mandelbaum Family Trust6204292790Organization5% or Greater Direct Ownership Interest; Trustee of the SNF20
The Janet Mandelbaum 2021 Irrevocable Gift Trust No 28224423348Organization5% or Greater Direct Ownership Interest; Trustee of the SNF16
The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 27012373509Organization5% or Greater Direct Ownership Interest; Trustee of the SNF14
Janet Mandelbaum0941341648IndividualCorporate Officer50
Unknown party2163918517OrganizationADP of the SNF
Unknown party3072009422OrganizationADP of the SNF
Unknown party1254827603OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Guardian Rehabilitation Hospital
533 South Fairfax Avenue Inc
85 residents
Other disclo…
4.87Ovr★★★☆☆Stf★★★★Ins★★★☆☆QM★★★★85
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to 533 South Fairfax Avenue Inc in FEC filings. Similar names may appear—confirm on FEC.gov.