Pitaya Healthcare LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 5193187417 Enrollment ID O20230817001866

Linked facilitiesFacilities

StatesStates

2 parties: 0 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Aaron Edmonds	2264668748	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; W-2 Managing Employee	50
Joseph Martin Niccoli	1557273547	Individual	5% or Greater Direct Ownership Interest; Corporate Officer	50

Aaron EdmondsPAC 2264668748
Individual505% or Greater Direct Ownership Interest; Corporate Officer
Joseph Martin NiccoliPAC 1557273547
Individual505% or Greater Direct Ownership Interest; Corporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Vacaville Ranch Post Acute Pitaya Healthcare LLC 69 residents		Other disclo…	4.51	Ovr★★★★☆Stf★★★☆☆Ins★★★★☆QM★★★☆☆	69

Vacaville Ranch Post Acute
Pitaya Healthcare LLC
Other disclosed role69 res4.51 HPRD
Overall 4Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
02/01/2023	Vacaville Ranch Post Acute	Pitaya Healthcare LLC	Nadhan Inc.	Buyer

02/01/2023
Vacaville Ranch Post Acute (Buyer)
Nadhan Inc. → Pitaya Healthcare LLC

Related CMS associates

Name match to Pitaya Healthcare LLC in FEC filings. Similar names may appear—confirm on FEC.gov.