Boulevard Temple Care Center, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6305991779 Enrollment ID O20100127000437

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 5 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Mohammad A. Qazi3870400526Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Managing Control - Governing Body100
Flora Ann Dean1557465648IndividualOperational/Managerial Control; ADP of the SNF
Carney Bradford0941541635IndividualOperational/Managerial Control; ADP of the SNF
Anis Khan2062329717IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Ciena Healthcare Management Inc0244147999OrganizationOperational/Managerial Control; ADP of the SNF
Mohammad a Qazi Living Trust Dated 09/26/974486893237Organization5% or Greater Direct Ownership Interest; ADP of the SNF100
Unknown party7416466024OrganizationADP of the SNF
Unknown party8325557937OrganizationADP of the SNF
Unknown party9032628649IndividualADP of the SNF
Unknown party8123537735IndividualADP of the SNF
Unknown party0941719553IndividualADP of the SNF
Unknown party1850800467IndividualADP of the SNF
Unknown party9234648841OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Other disclo…
3.64Ovr★★★☆☆Stf★★★★Ins★★★☆☆QM★★★☆☆118
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Boulevard Temple Care Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.