Potomac Operator LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 6002262375 Enrollment ID O20231023001434

Linked facilitiesFacilities

StatesStates

5 parties: 1 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Nachum Zager	4587051271	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control	10
Cherilyn Poulsen	8325121023	Individual	W-2 Managing Employee	—
MD3 Operator Holdco LLC	9638525900	Organization	5% or Greater Direct Ownership Interest	100
Boruch D Mermelstein	2062653447	Individual	5% or Greater Indirect Ownership Interest	45
Dov Green	0648588533	Individual	5% or Greater Indirect Ownership Interest	43

Nachum ZagerPAC 4587051271
Individual105% or Greater Indirect Ownership Interest; Corporate Officer
Cherilyn PoulsenPAC 8325121023
IndividualW-2 Managing Employee
MD3 Operator Holdco LLCPAC 9638525900
Organization1005% or Greater Direct Ownership Interest
Boruch D MermelsteinPAC 2062653447
Individual455% or Greater Indirect Ownership Interest
Dov GreenPAC 0648588533
Individual435% or Greater Indirect Ownership Interest

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Montcare at Potomac Potomac Operator LLC 156 residents		Other disclo…	3.69	Ovr★★★★★Stf★★★★☆Ins★★★★☆QM★★★★★	156

Montcare at Potomac
Potomac Operator LLC
Other disclosed role156 res3.69 HPRD
Overall 5Staffing Staff 4

Related CMS associates

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