Ag West Covina LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 5890607568 Enrollment ID O20031023000042

Details

Linked facilitiesFacilities
1
StatesStates
1

22 parties: 10 organizations · 12 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Ira Smedra2668384512Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF47.5
Sheila Manojo5496044760IndividualOperational/Managerial Control
Julie Butenko6002327996IndividualOperational/Managerial Control; ADP of the SNF
Heidi Capela9638680523IndividualOperational/Managerial Control; ADP of the SNF
Lance A Hassell2062551484IndividualOperational/Managerial Control; ADP of the SNF
Eileen Baltazar7810474681IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Miguel Vidales0345755302IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Paulina Salazar5991190654IndividualOperational/Managerial Control; ADP of the SNF
Cambridge Healthcare Services LLC2264617562OrganizationOperational/Managerial Control; ADP of the SNF
Krunal J Mehta2668506825IndividualOperational/Managerial Control; ADP of the SNF
Linda Lutz0446761332IndividualOperational/Managerial Control; ADP of the SNF
Jacob Wintner4385556232IndividualOperational/Managerial Control
Ag Facilities Operations, LLC3173429503Organization5% or Greater Direct Ownership Interest100
Ira E Smedra Living Trust1052694684Organization5% or Greater Indirect Ownership Interest47.5
Win Win Enterprises, LLC1759293608Organization5% or Greater Indirect Ownership Interest47.5
Bh Alliance0446156871Organization5% or Greater Indirect Ownership Interest5
Amanda Lee Sorensen Trust8921585795OrganizationADP of the SNF
Chapeaux Enterprises2668959438OrganizationADP of the SNF
Cory Ann Sorensen0749767515OrganizationADP of the SNF
Paul and Susan Geller Trust4486131257OrganizationADP of the SNF
Sorensen Family Trust6204313075OrganizationADP of the SNF
Jacob Wintner4587090436IndividualADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
West Covina Healthcare Center
Ag West Covina LLC
90 residents
Other disclo…
4.01Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM★★★★90
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Ag West Covina LLC in FEC filings. Similar names may appear—confirm on FEC.gov.