8520 Western Avenue Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 6406022789 Enrollment ID O20120109000535

Details

Linked facilitiesFacilities
1
StatesStates
1

15 parties: 6 organizations · 9 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Janet Mandelbaum0941341648IndividualCorporate Officer; Corporate Director; Operational/Managerial Control50
Simcha Mandelbaum2466346614IndividualOperational/Managerial Control; ADP of the SNF
Vann Rama5496188302IndividualOperational/Managerial Control; ADP of the SNF
Jocelyn Jacinto3678080256IndividualOperational/Managerial Control; ADP of the SNF
Frencita Navarro4587171160IndividualOperational/Managerial Control; ADP of the SNF
Maricor Moyo5496262073IndividualOperational/Managerial Control; ADP of the SNF
Fariborz Shams1557449527IndividualOperational/Managerial Control; ADP of the SNF
Maria Castro-garcia4688061286IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Julie Pham0648412486IndividualOperational/Managerial Control; ADP of the SNF
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 24789079807Organization5% or Greater Direct Ownership Interest50
The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 27012373509Organization5% or Greater Direct Ownership Interest30
The Janet Mandelbaum 2021 Irrevocable Gift Trust No 28224423348Organization5% or Greater Direct Ownership Interest20
Gvbp Real Estate Holdings, LLC3779090352OrganizationADP of the SNF
Hansen1951789437OrganizationADP of the SNF
Skillserve Inc4587939145OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Buena Park Nursing Center
8520 Western Avenue Inc
127 residents
Other disclo…
5.43Ovr★★☆☆☆Stf★★★★Ins☆☆☆☆QM★★★★★127
  • 8520 Western Avenue Inc
    Other disclosed role127 res5.43 HPRD
    Overall 2Staffing Staff 4
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to 8520 Western Avenue Inc in FEC filings. Similar names may appear—confirm on FEC.gov.