Santa Fe Convalescent Hospital Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 3971644675 Enrollment ID O20100104000040

Details

Linked facilitiesFacilities
1
StatesStates
1

18 parties: 6 organizations · 12 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Simcha Mandelbaum2466346614IndividualOperational/Managerial Control; ADP of the SNF
Gina Staana1355834524IndividualOperational/Managerial Control; ADP of the SNF
Amalia Nunez9537652706IndividualOperational/Managerial Control; ADP of the SNF
Maria Bince Trippel0547638470IndividualOperational/Managerial Control; ADP of the SNF
Marielle Del Mundo7719470988IndividualOperational/Managerial Control; ADP of the SNF
Carolyn Encarnacion8628561891IndividualOperational/Managerial Control; ADP of the SNF
Chok P Wan0547345977IndividualOperational/Managerial Control; ADP of the SNF
Clinton Williams9931616521IndividualOperational/Managerial Control; ADP of the SNF
Julie Pham0648412486IndividualOperational/Managerial Control; ADP of the SNF
Martin Ramos0446743611IndividualOperational/Managerial Control; ADP of the SNF
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 24789079807Organization5% or Greater Direct Ownership Interest50
The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 27012373509Organization5% or Greater Direct Ownership Interest30
The Janet Mandelbaum 2021 Irrevocable Gift Trust No 28224423348Organization5% or Greater Direct Ownership Interest20
Janet Mandelbaum0941341648IndividualCorporate Officer; Corporate Director
Maria Castro-garcia4688061286IndividualCorporate Officer; Corporate Director
Hansen1951789437OrganizationADP of the SNF
Mandelbaum Family Holdings LLC6002309275OrganizationADP of the SNF
Skillserve Inc4587939145OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Beachside Post Acute
Santa Fe Convalescent Hospital Inc
82 residents
Other disclo…
4.48Ovr★★★★Stf★★★★Ins★★★☆☆QM★★★★★82
  • Santa Fe Convalescent Hospital Inc
    Other disclosed role82 res4.48 HPRD
    Overall 4Staffing Staff 4
Related CMS associates

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Name match to Santa Fe Convalescent Hospital Inc in FEC filings. Similar names may appear—confirm on FEC.gov.