Mystic Meadows SNF LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 2961847926 Enrollment ID O20240229000986

Details

Linked facilitiesFacilities
1
StatesStates
1

14 parties: 9 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Mary Jane Eicke5294738712IndividualW-2 Managing Employee
Shlomo Goldberger1153640040IndividualW-2 Managing Employee
Mystic Meadows Holdco LLC2769827724Organization5% or Greater Direct Ownership Interest100
Nj Mazel Parentco LLC6709244072Organization5% or Greater Indirect Ownership Interest50
Nj Noble Parentco LLC8224404629Organization5% or Greater Indirect Ownership Interest50
Sgs 2010 Family Trust8426439233Organization5% or Greater Indirect Ownership Interest20
Tyh 2017 Trust0244611051Organization5% or Greater Indirect Ownership Interest20
Gold Nj Trust1153702964Organization5% or Greater Indirect Ownership Interest17.5
Silver Nj Tr7517325889Organization5% or Greater Indirect Ownership Interest17.5
Copper Nj Trust4880075696Organization5% or Greater Indirect Ownership Interest10
Malt Family Trust9335520147Organization5% or Greater Indirect Ownership Interest10
Robert Meisner5799189767Individual5% or Greater Indirect Ownership Interest4.9
Pinchos Z Bak3072851377IndividualCorporate Officer
Vivekkumar V Dasondi9032200852IndividualCorporate Director

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Mystic Meadows Rehabilitation and Nursing Center
Mystic Meadows SNF LLC
86 residents
Other disclo…
3.98Ovr★★★★Stf★★★★Ins★★★★QM★★★☆☆86

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
11/01/2023Mystic Meadows Rehabilitation and Nursing CenterMystic Meadows SNF LLCLeh Operating LLCBuyer
  1. 11/01/2023
    Leh Operating LLCMystic Meadows SNF LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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