Memory Care Center at Emerald, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 3173869310 Enrollment ID O20190109002526

Linked facilitiesFacilities

StatesStates

6 parties: 3 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Jacob I Walden	1759667405	Individual	Contracted Managing Employee; 5% or Greater Indirect Ownership Interest	49.5
Yisroel I Chafetz	3274757513	Individual	Contracted Managing Employee; 5% or Greater Indirect Ownership Interest	49.5
Darlene Kindle	3375807043	Individual	W-2 Managing Employee	—
Ehc Claremore Operations LLC	5496091621	Organization	5% or Greater Direct Ownership Interest	100
Jw Oklahoma Holdings LLC	7113263344	Organization	5% or Greater Indirect Ownership Interest	50
Ycok Holdings LLC	1759627987	Organization	5% or Greater Indirect Ownership Interest	50

Jacob I WaldenPAC 1759667405
Individual49.5Contracted Managing Employee; 5% or Greater Indirect Ownership Interest
Yisroel I ChafetzPAC 3274757513
Individual49.5Contracted Managing Employee; 5% or Greater Indirect Ownership Interest
Darlene KindlePAC 3375807043
IndividualW-2 Managing Employee
Ehc Claremore Operations LLCPAC 5496091621
Organization1005% or Greater Direct Ownership Interest
Jw Oklahoma Holdings LLCPAC 7113263344
Organization505% or Greater Indirect Ownership Interest
Ycok Holdings LLCPAC 1759627987
Organization505% or Greater Indirect Ownership Interest

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Memory Care Center at Emerald Memory Care Center at Emerald, LLC 57 residents		Other disclo…	3.39	Ovr★☆☆☆☆Stf★★☆☆☆Ins★☆☆☆☆QM★★☆☆☆	57

Memory Care Center at Emerald
Memory Care Center at Emerald, LLC
Other disclosed role57 res3.39 HPRD
Overall 1Staffing Staff 2

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
11/01/2018	Memory Care Center at Emerald	Memory Care Center at Emerald, LLC	Autumn Wood Opco, LLC	Buyer

11/01/2018
Memory Care Center at Emerald (Buyer)
Autumn Wood Opco, LLC → Memory Care Center at Emerald, LLC

Related CMS associates

Name match to Memory Care Center at Emerald, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.