Mystic Meadows SNF LLC Nursing Home Ownership

State	#
NJ	1
Total	1

Enrollment entity. CMS facility enrollment PAC with linked owners, facilities, and any ownership transactions in CMS data.

Total Facilities

Overall rating

4.0

Total nurse HPRD

3.87

14 parties: 9 organizations · 5 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Mary Jane Eicke	5294738712	Individual	W-2 Managing Employee	—
Shlomo Goldberger	1153640040	Individual	W-2 Managing Employee	—
Mystic Meadows Holdco LLC	2769827724	Organization	5% or Greater Direct Ownership Interest	100
Nj Mazel Parentco LLC	6709244072	Organization	5% or Greater Indirect Ownership Interest	50
Nj Noble Parentco LLC	8224404629	Organization	5% or Greater Indirect Ownership Interest	50
Sgs 2010 Family Trust	8426439233	Organization	5% or Greater Indirect Ownership Interest	20
Tyh 2017 Trust	0244611051	Organization	5% or Greater Indirect Ownership Interest	20
Gold Nj Trust	1153702964	Organization	5% or Greater Indirect Ownership Interest	17.5
Silver Nj Tr	7517325889	Organization	5% or Greater Indirect Ownership Interest	17.5
Copper Nj Trust	4880075696	Organization	5% or Greater Indirect Ownership Interest	10
Malt Family Trust	9335520147	Organization	5% or Greater Indirect Ownership Interest	10
Robert Meisner	5799189767	Individual	5% or Greater Indirect Ownership Interest	4.9
Pinchos Bak	3072851377	Individual	Corporate Officer	—
Vivekkumar V Dasondi	9032200852	Individual	Corporate Director	—

Mary Jane EickePAC 5294738712
IndividualW-2 Managing Employee
Shlomo GoldbergerPAC 1153640040
IndividualW-2 Managing Employee
Mystic Meadows Holdco LLCPAC 2769827724
Organization1005% or Greater Direct Ownership Interest
Nj Mazel Parentco LLCPAC 6709244072
Organization505% or Greater Indirect Ownership Interest
Nj Noble Parentco LLCPAC 8224404629
Organization505% or Greater Indirect Ownership Interest
Sgs 2010 Family TrustPAC 8426439233
Organization205% or Greater Indirect Ownership Interest
Tyh 2017 TrustPAC 0244611051
Organization205% or Greater Indirect Ownership Interest
Gold Nj TrustPAC 1153702964
Organization17.55% or Greater Indirect Ownership Interest
Silver Nj TrPAC 7517325889
Organization17.55% or Greater Indirect Ownership Interest
Copper Nj TrustPAC 4880075696
Organization105% or Greater Indirect Ownership Interest
Malt Family TrustPAC 9335520147
Organization105% or Greater Indirect Ownership Interest
Robert MeisnerPAC 5799189767
Individual4.95% or Greater Indirect Ownership Interest
Pinchos BakPAC 3072851377
IndividualCorporate Officer
Vivekkumar V DasondiPAC 9032200852
IndividualCorporate Director

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Mystic Meadows Rehabilitation and Nursing Center Mystic Meadows SNF LLC 101 residents		Other disclo…	3.86	Ovr★★★★☆Stf★★★★☆Ins★★★★☆QM★★★★☆	101

Mystic Meadows Rehabilitation and Nursing Center
Mystic Meadows SNF LLC
Other disclosed role101 res3.86 HPRD
Ovr 4Stf 4

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
11/01/2023	Mystic Meadows Rehabilitation and Nursing Center	Mystic Meadows SNF LLC	Leh Operating LLC	Buyer

11/01/2023
Mystic Meadows Rehabilitation and Nursing Center (Buyer)
Leh Operating LLC → Mystic Meadows SNF LLC

Associated Owners · 1

Show associated owners

Name	Shared	Link
Leh Operating LLC	1 CHOW	CMS ownership change

Name match to Mystic Meadows SNF LLC in FEC filings. Similar names may appear—confirm on FEC.gov.