Windsor El Camino Care Center, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 5991806630 Enrollment ID O20070724000671

Details

Linked facilitiesFacilities
1
StatesStates
1

11 parties: 6 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Phonechia Thomas-harrison3870085350IndividualOperational/Managerial Control; ADP of the SNF
Newgen Administrative Services, LLC3971025081OrganizationOperational/Managerial Control; ADP of the SNF
Pamela Shaw5991169336IndividualOperational/Managerial Control; ADP of the SNF
Ramsey L Gardner9638505472IndividualOperational/Managerial Control; ADP of the SNF
Antelope Realty Holdings I, LLC4880116995Organization5% or Greater Direct Ownership Interest100
Windsor Norcal 13 Holdings LLC8426156134Organization5% or Greater Direct Ownership Interest100
Antelope Holdings I, LLC4789045923Organization5% or Greater Indirect Ownership Interest100
9560 Pico LLC0648608315Organization5% or Greater Indirect Ownership Interest50
Aaron H Robin8426969536Individual5% or Greater Indirect Ownership Interest; Corporate Officer50
Avrohom L Tress5799087821Individual5% or Greater Indirect Ownership Interest; Corporate Officer50
Pico Ar LLC2466880133Organization5% or Greater Indirect Ownership Interest50

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
River City Post Acute
Windsor El Camino Care Center, LLC
172 residents
Other disclo…
3.54Ovr☆☆☆☆Stf★★☆☆☆Ins☆☆☆☆QM★★☆☆☆172
  • Windsor El Camino Care Center, LLC
    Other disclosed role172 res3.54 HPRD
    Overall 1Staffing Staff 2
Related CMS associates

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Name match to Windsor El Camino Care Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.