Opco New London, Mn, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 5092149591 Enrollment ID O20191216001268

Linked facilitiesFacilities

StatesStates

13 parties: 8 organizations · 5 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Holdco New London, Mn, LLC	0446684948	Organization	5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF	100
Holdco Tabletop, LLC	1355678236	Organization	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF	100
Investco Tabletop, LLC	3173850054	Organization	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF	97.5
Techcare Corp	5991032872	Organization	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF	12.53
Chitai Investment, LLC	4082941968	Organization	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF	12.52
Dominic Curcio	4981126034	Individual	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF	8.35
Angela Ann Lako Quinn	5890017016	Individual	Operational/Managerial Control; ADP of the SNF	—
Ryan R Davis	7719150242	Individual	Operational/Managerial Control; ADP of the SNF	—
Melissa Olson	4880107341	Individual	Operational/Managerial Control; ADP of the SNF	—
Campbell Street Services LLC	8123375821	Organization	Operational/Managerial Control; ADP of the SNF	—
Isaac S Dole	0143543306	Individual	Operational/Managerial Control; ADP of the SNF	—
Managerco New London, Mn, LLC	3173957677	Organization	Operational/Managerial Control; ADP of the SNF	—
Realco New London, Mn, LLC	2567975014	Organization	5% or Greater Mortgage Interest; ADP of the SNF	100

Holdco New London, Mn, LLCPAC 0446684948
Organization1005% or Greater Direct Ownership Interest; Operational/Managerial Control
Holdco Tabletop, LLCPAC 1355678236
Organization1005% or Greater Indirect Ownership Interest; Operational/Managerial Control
Investco Tabletop, LLCPAC 3173850054
Organization97.55% or Greater Indirect Ownership Interest; Operational/Managerial Control
Techcare CorpPAC 5991032872
Organization12.535% or Greater Indirect Ownership Interest; Operational/Managerial Control
Chitai Investment, LLCPAC 4082941968
Organization12.525% or Greater Indirect Ownership Interest; Operational/Managerial Control
Dominic CurcioPAC 4981126034
Individual8.355% or Greater Indirect Ownership Interest; Operational/Managerial Control
Angela Ann Lako QuinnPAC 5890017016
IndividualOperational/Managerial Control; ADP of the SNF
Ryan R DavisPAC 7719150242
IndividualOperational/Managerial Control; ADP of the SNF
Melissa OlsonPAC 4880107341
IndividualOperational/Managerial Control; ADP of the SNF
Campbell Street Services LLCPAC 8123375821
OrganizationOperational/Managerial Control; ADP of the SNF
Isaac S DolePAC 0143543306
IndividualOperational/Managerial Control; ADP of the SNF
Managerco New London, Mn, LLCPAC 3173957677
OrganizationOperational/Managerial Control; ADP of the SNF
Realco New London, Mn, LLCPAC 2567975014
Organization1005% or Greater Mortgage Interest; ADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Glenoaks Senior Living Campus Opco New London, Mn, LLC 40 residents		Other disclo…	3.23	Ovr★☆☆☆☆Stf★★★☆☆Ins★☆☆☆☆QM★★★☆☆	40

Glenoaks Senior Living Campus
Opco New London, Mn, LLC
Other disclosed role40 res3.23 HPRD
Overall 1Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
12/01/2019	Glenoaks Senior Living Campus	Opco New London, Mn, LLC	Benedictine Living Community of New London	Buyer

12/01/2019
Glenoaks Senior Living Campus (Buyer)
Benedictine Living Community of New London → Opco New London, Mn, LLC

Related CMS associates

Name match to Opco New London, Mn, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.