Greens at Spruce Pines LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 7113301466 Enrollment ID O20220906000784

Linked facilitiesFacilities

StatesStates

7 parties: 4 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Shelley M Tinsley	5193740454	Individual	W-2 Managing Employee	100
Bync Holdings LLC	2264815315	Organization	5% or Greater Direct Ownership Interest	100
Jacob Stern	7517115090	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer; Corporate Director	50, 100
10-26 Nationwide Tr	6406151398	Organization	5% or Greater Indirect Ownership Interest	50
Baruch Jeremias	2163676644	Individual	5% or Greater Indirect Ownership Interest; Corporate Director	50
Capital Holdings Trust	1658664198	Organization	5% or Greater Indirect Ownership Interest	50
Starlight Healthcare LLC	3577856012	Organization	5% or Greater Indirect Ownership Interest	50

Shelley M TinsleyPAC 5193740454
Individual100W-2 Managing Employee
Bync Holdings LLCPAC 2264815315
Organization1005% or Greater Direct Ownership Interest
Jacob SternPAC 7517115090
Individual50, 1005% or Greater Indirect Ownership Interest; Corporate Officer
10-26 Nationwide TrPAC 6406151398
Organization505% or Greater Indirect Ownership Interest
Baruch JeremiasPAC 2163676644
Individual505% or Greater Indirect Ownership Interest; Corporate Director
Capital Holdings TrustPAC 1658664198
Organization505% or Greater Indirect Ownership Interest
Starlight Healthcare LLCPAC 3577856012
Organization505% or Greater Indirect Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
The Greens at Spruce Pines Greens at Spruce Pines LLC 107 residents		Other disclo…	3.47	Ovr★★☆☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★★☆	107

The Greens at Spruce Pines
Greens at Spruce Pines LLC
Other disclosed role107 res3.47 HPRD
Overall 2Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
07/01/2022	The Greens at Spruce Pines	Greens at Spruce Pines LLC	Ssc Spruce Pine Operating Company LLC	Buyer

07/01/2022
The Greens at Spruce Pines (Buyer)
Ssc Spruce Pine Operating Company LLC → Greens at Spruce Pines LLC

Related CMS associates

Name match to Greens at Spruce Pines LLC in FEC filings. Similar names may appear—confirm on FEC.gov.