New Bethany

Enrollment entity

Provider / enrollment organization Enrollment PAC 5991099012 Enrollment ID O20160811001163

Linked facilitiesFacilities

StatesStates

5 parties: 0 organizations · 5 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Lucinda D Fonesca	2961796081	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; Operational/Managerial Control	100
Astrida M D'cruz	0941682389	Individual	Corporate Officer	0
Helen J Petrovich	1850773292	Individual	Corporate Officer	0
Acacia A Moises	3678955010	Individual	Corporate Director	0
Julia D Fonseca	4587046925	Individual	Corporate Director	0

Lucinda D FonescaPAC 2961796081
Individual1005% or Greater Direct Ownership Interest; Corporate Officer
Astrida M D'cruzPAC 0941682389
Individual0Corporate Officer
Helen J PetrovichPAC 1850773292
Individual0Corporate Officer
Acacia A MoisesPAC 3678955010
Individual0Corporate Director
Julia D FonsecaPAC 4587046925
Individual0Corporate Director

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
New Bethany Skilled Nursing New Bethany 29 residents		Other disclo…	4.45	Ovr★★☆☆☆Stf★★★★☆Ins★★☆☆☆QM★★★☆☆	29

New Bethany Skilled Nursing
New Bethany
Other disclosed role29 res4.45 HPRD
Overall 2Staffing Staff 4

Related CMS associates

Name match to New Bethany in FEC filings. Similar names may appear—confirm on FEC.gov.