West Covina Care Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 6103155114 Enrollment ID O20190916003449

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 4 organizations · 9 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Anil Gupta6305737982IndividualOperational/Managerial Control; ADP of the SNF
Brenden Q Dahl4981871571IndividualCorporate Director; Managing Control - Governing Body
Nahs Southeast, Inc.2163772328Organization5% or Greater Direct Ownership Interest; Direct Ownership Interest
Nahs Employee Stock Ownership Trust1254681588Organization5% or Greater Indirect Ownership Interest; Indirect Ownership Interest100
Nahs Holding Inc4981954211Organization5% or Greater Indirect Ownership Interest
Marc Johnson9739551359IndividualCorporate Officer; ADP of the SNF
Michael J Moore4981835303IndividualCorporate Officer; Corporate Director
Mark Walton2264834340IndividualCorporate Officer; Corporate Director
Victor G Lundquist7618263849IndividualCorporate Officer
Ralph Baja9931602489IndividualCorporate Director
James Barlow2668975111IndividualCorporate Director
Timothy J Paulsen3779491659IndividualCorporate Director
Unknown party2961985171OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Beacon Healthcare Center
West Covina Care Inc
40 residents
Other disclo…
4.60Ovr★★★★★Stf★★★☆☆Ins★★★★QM★★★★★40
  • West Covina Care Inc
    Other disclosed role40 res4.60 HPRD
    Overall 5Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
04/01/2019Beacon Healthcare CenterWest Covina Care IncSrsw LLCBuyer
  1. 04/01/2019
    Srsw LLCWest Covina Care Inc
Related CMS associates

FEC political contributions FEC contributions Beta

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