Blythe Post Acute LLC

Managing / control

Organization PAC 7315263506 Enrollment ID O20150305002057

Linked facilitiesFacilities

StatesStates

7 parties: 2 organizations · 5 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Meridian Management Services LLC	0143476820	Organization	Operational/Managerial Control	100
Thomas M Chambers	6002978426	Individual	5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF	50
Rustico Rayta Punzalan	6204337363	Individual	Corporate Officer; Operational/Managerial Control; ADP of the SNF	—
Leonel L Rodriguez	7416008420	Individual	Operational/Managerial Control; ADP of the SNF	—
Luis Williams	9931600681	Individual	Operational/Managerial Control; ADP of the SNF	—
Blythe Post Acute LLC	7315263506	Organization	Operational/Managerial Control; ADP of the SNF	—
David A Johnson	3678654977	Individual	5% or Greater Direct Ownership Interest	50

Meridian Management Services LLCPAC 0143476820
Organization100Operational/Managerial Control
Thomas M ChambersPAC 6002978426
Individual505% or Greater Direct Ownership Interest; Operational/Managerial Control
Rustico Rayta PunzalanPAC 6204337363
IndividualCorporate Officer; Operational/Managerial Control
Leonel L RodriguezPAC 7416008420
IndividualOperational/Managerial Control; ADP of the SNF
Luis WilliamsPAC 9931600681
IndividualOperational/Managerial Control; ADP of the SNF
Blythe Post Acute LLCPAC 7315263506
OrganizationOperational/Managerial Control; ADP of the SNF
David A JohnsonPAC 3678654977
Individual505% or Greater Direct Ownership Interest

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Blythe Post Acute LLC 49 residents			3.87	Ovr★★☆☆☆Stf★★★★☆Ins★★☆☆☆QM★★☆☆☆	49

Related CMS associates

Also appears as enrollment entity on 1 facility.

Facility	Enrollment ID	Location	City
Blythe Post Acute LLC 49 residents	O20150305002057		BREA

Name match to Blythe Post Acute LLC in FEC filings. Similar names may appear—confirm on FEC.gov.