Hudson Elms Opco LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 7416384086 Enrollment ID O20200219002695

Linked facilitiesFacilities

StatesStates

3 parties: 0 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Jeffery Goldstein	3375792120	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; W-2 Managing Employee	33.3
Alexander Sherman	6709103286	Individual	5% or Greater Direct Ownership Interest	33.3
Samuel Sherman	3072610997	Individual	5% or Greater Direct Ownership Interest	33.3

Jeffery GoldsteinPAC 3375792120
Individual33.35% or Greater Direct Ownership Interest; Corporate Officer
Alexander ShermanPAC 6709103286
Individual33.35% or Greater Direct Ownership Interest
Samuel ShermanPAC 3072610997
Individual33.35% or Greater Direct Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Hudson Elms Nursing Center Hudson Elms Opco LLC 43 residents		Other disclo…	3.17	Ovr★☆☆☆☆Stf★☆☆☆☆Ins★☆☆☆☆QM★★★★☆	43

Hudson Elms Nursing Center
Hudson Elms Opco LLC
Other disclosed role43 res3.17 HPRD
Overall 1Staffing Staff 1

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
02/01/2020	Hudson Elms Nursing Center	Hudson Elms Opco LLC	Hudson Health Care, Inc.	Buyer

02/01/2020
Hudson Elms Nursing Center (Buyer)
Hudson Health Care, Inc. → Hudson Elms Opco LLC

Related CMS associates

Name match to Hudson Elms Opco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.