Sidney Rehab LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 7810375565 Enrollment ID O20220608001271

Linked facilitiesFacilities

StatesStates

4 parties: 0 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Mandy Walter	4284156654	Individual	Operational/Managerial Control; ADP of the SNF	—
Mark Stein	6608124110	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; ADP of the SNF	50
Michael J Tenenbaum	0941527741	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; ADP of the SNF	50
Miguel Topalov	5799979274	Individual	ADP of the SNF	—

Mandy WalterPAC 4284156654
IndividualOperational/Managerial Control; ADP of the SNF
Mark SteinPAC 6608124110
Individual505% or Greater Direct Ownership Interest; Corporate Officer
Michael J TenenbaumPAC 0941527741
Individual505% or Greater Direct Ownership Interest; Corporate Officer
Miguel TopalovPAC 5799979274
IndividualADP of the SNF

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Momentous Health at Sidney Sidney Rehab LLC 43 residents		Other disclo…	3.83	Ovr★★☆☆☆Stf★☆☆☆☆Ins★★☆☆☆QM★★★★★	43

Momentous Health at Sidney
Sidney Rehab LLC
Other disclosed role43 res3.83 HPRD
Overall 2Staffing Staff 1

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
05/01/2022	Momentous Health at Sidney	Sidney Rehab LLC	Fhs Sidney Inc	Buyer

Related CMS associates

Name match to Sidney Rehab LLC in FEC filings. Similar names may appear—confirm on FEC.gov.