Millbrae Care Center LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 7113255407 Enrollment ID O20190823002950

Linked facilitiesFacilities

StatesStates

4 parties: 0 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Elsa Rodriguez	3577790732	Individual	Operational/Managerial Control	100
Ronald J Mayer	3274579388	Individual	5% or Greater Direct Ownership Interest	65.3
Asher Peretz	6800124199	Individual	5% or Greater Direct Ownership Interest	10
Estrella Choy	4082942370	Individual	5% or Greater Direct Ownership Interest	10

Elsa RodriguezPAC 3577790732
Individual100Operational/Managerial Control
Ronald J MayerPAC 3274579388
Individual65.35% or Greater Direct Ownership Interest
Asher PeretzPAC 6800124199
Individual105% or Greater Direct Ownership Interest
Estrella ChoyPAC 4082942370
Individual105% or Greater Direct Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Millbrae Care Center Millbrae Care Center LLC 136 residents		Other disclo…	3.20	Ovr★★☆☆☆Stf★★★☆☆Ins★★☆☆☆QM★★☆☆☆	136

Millbrae Care Center
Millbrae Care Center LLC
Other disclosed role136 res3.20 HPRD
Overall 2Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
07/01/2019	Millbrae Care Center	Millbrae Care Center LLC	Millbrae Skilled Care LLC	Buyer

07/01/2019
Millbrae Care Center (Buyer)
Millbrae Skilled Care LLC → Millbrae Care Center LLC

Related CMS associates

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