Mt Tabor SNF Operations LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 3971019043 Enrollment ID O20250724001046

Linked facilitiesFacilities

StatesStates

15 parties: 8 organizations · 7 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Mt Tabor SNF Operations Holdings LLC	2961918040	Organization	5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF	100
Lion 26 Holdings LLC	9335478197	Organization	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF	47
Sabrina 1818 Holdings LLC	1153650908	Organization	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF	47
Saessy Irrevocable Trust	1951630110	Organization	5% or Greater Indirect Ownership Interest; Operational/Managerial Control	44.7
Tatiriq Irrevocable Trust	9133458391	Organization	5% or Greater Indirect Ownership Interest; Operational/Managerial Control	44.7
Delilah 2626 Holdings LLC	8224367487	Organization	Operational/Managerial Control; Indirect Ownership Interest	2.5
Jml 1836 Holdings LLC	5799200127	Organization	Operational/Managerial Control; Indirect Ownership Interest	2.5
Shimon Idels	6305175563	Individual	Corporate Officer; Operational/Managerial Control; ADP of the SNF	0
April A Olum	9638314131	Individual	Operational/Managerial Control; ADP of the SNF	—
Lisa Slavik	8224544309	Individual	Operational/Managerial Control; ADP of the SNF	—
Lansilh Irrv Tr	3476072828	Organization	Indirect Ownership Interest	2.38
Unknown party	4688180763	Individual	Indirect Ownership Interest	2.3
Unknown party	9133635212	Individual	Indirect Ownership Interest	1
Unknown party	5597271676	Individual	Indirect Ownership Interest	0.1
Unknown party	6406362581	Individual	Trustee of the SNF	—

Mt Tabor SNF Operations Holdings LLCPAC 2961918040
Organization1005% or Greater Direct Ownership Interest; Operational/Managerial Control
Lion 26 Holdings LLCPAC 9335478197
Organization475% or Greater Indirect Ownership Interest; Operational/Managerial Control
Sabrina 1818 Holdings LLCPAC 1153650908
Organization475% or Greater Indirect Ownership Interest; Operational/Managerial Control
Saessy Irrevocable TrustPAC 1951630110
Organization44.75% or Greater Indirect Ownership Interest; Operational/Managerial Control
Tatiriq Irrevocable TrustPAC 9133458391
Organization44.75% or Greater Indirect Ownership Interest; Operational/Managerial Control
Delilah 2626 Holdings LLCPAC 8224367487
Organization2.5Operational/Managerial Control; Indirect Ownership Interest
Jml 1836 Holdings LLCPAC 5799200127
Organization2.5Operational/Managerial Control; Indirect Ownership Interest
Shimon IdelsPAC 6305175563
Individual0Corporate Officer; Operational/Managerial Control
April A OlumPAC 9638314131
IndividualOperational/Managerial Control; ADP of the SNF
Lisa SlavikPAC 8224544309
IndividualOperational/Managerial Control; ADP of the SNF
Lansilh Irrv TrPAC 3476072828
Organization2.38Indirect Ownership Interest
Unknown partyPAC 4688180763
Individual2.3Indirect Ownership Interest
Unknown partyPAC 9133635212
Individual1Indirect Ownership Interest
Unknown partyPAC 5597271676
Individual0.1Indirect Ownership Interest
Unknown partyPAC 6406362581
IndividualTrustee of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Mt. Tabor Health & Rehabilitation Mt Tabor SNF Operations LLC 68 residents		Other disclo…	4.85	Ovr★★☆☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★☆☆	68

Mt. Tabor Health & Rehabilitation
Mt Tabor SNF Operations LLC
Other disclosed role68 res4.85 HPRD
Overall 2Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
08/04/2025	Mt. Tabor Health & Rehabilitation	Mt Tabor SNF Operations LLC	Marquis Companies I, Inc	Buyer

08/04/2025
Mt. Tabor Health & Rehabilitation (Buyer)
Marquis Companies I, Inc → Mt Tabor SNF Operations LLC

Related CMS associates

Name match to Mt Tabor SNF Operations LLC in FEC filings. Similar names may appear—confirm on FEC.gov.