Kith Haven Acquisition Company, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4880860766 Enrollment ID O20111223000084

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 5 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Mohammad A. Qazi3870400526Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Managing Control - Governing Body100
Ciena Healthcare Management Inc0244147999OrganizationOperational/Managerial Control; ADP of the SNF100
Dana Franklin Alexander6901321181IndividualOperational/Managerial Control; ADP of the SNF
Anis Khan2062329717IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Melvin Cherry6608856596IndividualOperational/Managerial Control; ADP of the SNF
Mohammad a Qazi Living Trust Dated 09/26/974486893237Organization5% or Greater Direct Ownership Interest; ADP of the SNF100
Unknown party0345765525OrganizationADP of the SNF
Unknown party8527583707OrganizationADP of the SNF
Unknown party8921523101IndividualADP of the SNF
Unknown party7012432297IndividualADP of the SNF
Unknown party9830614015IndividualADP of the SNF
Unknown party0749705929IndividualADP of the SNF
Unknown party6800311085OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Kith Haven
Kith Haven Acquisition Company, LLC
128 residents
Other disclo…
3.93Ovr☆☆☆☆Stf★★★★Ins★★☆☆☆QM☆☆☆☆128
  • Kith Haven Acquisition Company, LLC
    Other disclosed role128 res3.93 HPRD
    Overall 1Staffing Staff 4
Related CMS associates

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Name match to Kith Haven Acquisition Company, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.