Mission Carmichael Post Acute LLC

Ownership interest

Organization PAC 5991103954 Enrollment ID O20211006002015

Linked facilitiesFacilities

StatesStates

Portfolio HPRDPortfolio HPRD

4.04

n = 1

13 parties: 4 organizations · 9 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Mission Carmichael Post Acute LLC	5991103954	Organization	Operational/Managerial Control; ADP of the SNF; Direct Ownership Interest	100
David A Johnson	3678654977	Individual	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Managing Control - Governing Body	50
Frank A Johnson	4082521745	Individual	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Managing Control - Governing Body	50
Lorena Villamor	4284134743	Individual	Operational/Managerial Control	—
Rudolph Balecha	7911906631	Individual	Operational/Managerial Control; ADP of the SNF	—
Joshua Kochek	5890213847	Individual	Operational/Managerial Control; ADP of the SNF	—
Micheal D Oxford	3779620521	Individual	Operational/Managerial Control; ADP of the SNF	—
Adrian Dehghanmanesh	6103907142	Individual	Operational/Managerial Control; ADP of the SNF	—
Mary Farrales	7517485576	Individual	ADP of the SNF	—
Cibc Bank Usa	8426229584	Organization	ADP of the SNF	—
Sun Meridian Management Services LLC	6002334299	Organization	ADP of the SNF	—
Sunil Dhir	8729156393	Individual	ADP of the SNF	—
Smv Carmichael LLC	3476053901	Organization	ADP of the SNF	—

Mission Carmichael Post Acute LLCPAC 5991103954
Organization100Operational/Managerial Control; ADP of the SNF
David A JohnsonPAC 3678654977
Individual505% or Greater Indirect Ownership Interest; Operational/Managerial Control
Frank A JohnsonPAC 4082521745
Individual505% or Greater Indirect Ownership Interest; Operational/Managerial Control
Lorena VillamorPAC 4284134743
IndividualOperational/Managerial Control
Rudolph BalechaPAC 7911906631
IndividualOperational/Managerial Control; ADP of the SNF
Joshua KochekPAC 5890213847
IndividualOperational/Managerial Control; ADP of the SNF
Micheal D OxfordPAC 3779620521
IndividualOperational/Managerial Control; ADP of the SNF
Adrian DehghanmaneshPAC 6103907142
IndividualOperational/Managerial Control; ADP of the SNF
Mary FarralesPAC 7517485576
IndividualADP of the SNF
Cibc Bank UsaPAC 8426229584
OrganizationADP of the SNF
Sun Meridian Management Services LLCPAC 6002334299
OrganizationADP of the SNF
Sunil DhirPAC 8729156393
IndividualADP of the SNF
Smv Carmichael LLCPAC 3476053901
OrganizationADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Mission Carmichael Healthcare Center Mission Carmichael Post Acute LLC 126 residents			4.04	Ovr★★☆☆☆Stf★★★★☆Ins★★☆☆☆QM★★★★☆	126

Mission Carmichael Healthcare Center
Mission Carmichael Post Acute LLC
126 res4.04 HPRD
Overall 2Staffing Staff 4

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
08/01/2021	Mission Carmichael Healthcare Center	Mission Carmichael Post Acute LLC	Ssc Carmichael Operating Company LP	Buyer

08/01/2021
Mission Carmichael Healthcare Center (Buyer)
Ssc Carmichael Operating Company LP → Mission Carmichael Post Acute LLC

Related CMS associates

Also appears as enrollment entity on 1 facility.

Facility	Enrollment ID	Location	City
Mission Carmichael Healthcare Center Mission Carmichael Post Acute LLC 126 residents	O20211006002015		NEW YORK

Mission Carmichael Healthcare Center
Mission Carmichael Post Acute LLC
126 residents
Enrollment O20211006002015 · New York, CA · NEW YORK

Name match to Mission Carmichael Post Acute LLC in FEC filings. Similar names may appear—confirm on FEC.gov.