Shelby Health and Rehabilitation Center, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8325176696 Enrollment ID O20100506000409

Details

Linked facilitiesFacilities
1
StatesStates
1

64 parties: 30 organizations · 34 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Optum Management Solutions. Inc2062845829OrganizationOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest100, 1.08
Robert Sharon9830517457IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Eric Checkley0143720144IndividualOperational/Managerial Control; ADP of the SNF
Seth Byron Parker8527058817IndividualOperational/Managerial Control; ADP of the SNF
Tammy Rouse0547679102IndividualOperational/Managerial Control
Rajan Patel6002020146IndividualOperational/Managerial Control; Managing Control - Governing Body
Om Holdco, LLC9335572197Organization5% or Greater Direct Ownership Interest; ADP of the SNF100
Charles Franklin LLC4284019514Organization5% or Greater Indirect Ownership Interest; ADP of the SNF30
Charles Westland LLC0941700942Organization5% or Greater Indirect Ownership Interest30
Paar 108 LLC3375928609Organization5% or Greater Indirect Ownership Interest; ADP of the SNF30
Snw LLC2466837794Organization5% or Greater Indirect Ownership Interest; ADP of the SNF30
Hemant Shah 2018 Irrevocable Trust5193100428Organization5% or Greater Indirect Ownership Interest; ADP of the SNF29.7
Optalis LP Investors 1, LLC3870093867Organization5% or Greater Indirect Ownership Interest; ADP of the SNF10
Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel0547645871Organization5% or Greater Indirect Ownership Interest; ADP of the SNF7.5
Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel9739564063Organization5% or Greater Indirect Ownership Interest; ADP of the SNF7.5
Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-20208729463054Organization5% or Greater Indirect Ownership Interest; ADP of the SNF7.5
Rajan G Patel 2020 Irr Fam Tr Uad 12-3-20206002291333Organization5% or Greater Indirect Ownership Interest; ADP of the SNF7.5
Unknown party6406356401OrganizationIndirect Ownership Interest1.53
Unknown party1153821145OrganizationIndirect Ownership Interest1.4
Unknown party3375043375IndividualIndirect Ownership Interest0.4
Unknown party3072013069OrganizationIndirect Ownership Interest0.38
Unknown party2365942364IndividualIndirect Ownership Interest0.33
Unknown party7012417017IndividualIndirect Ownership Interest0.33
Unknown party5890295885OrganizationIndirect Ownership Interest0.3
Unknown party6608376603IndividualIndirect Ownership Interest0.3
Show all 64 parties (39 more)
NameOwner/control PACTypeRole(s)%
Optum Management Solutions. Inc2062845829OrganizationOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest100, 1.08
Robert Sharon9830517457IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Eric Checkley0143720144IndividualOperational/Managerial Control; ADP of the SNF
Seth Byron Parker8527058817IndividualOperational/Managerial Control; ADP of the SNF
Tammy Rouse0547679102IndividualOperational/Managerial Control
Rajan Patel6002020146IndividualOperational/Managerial Control; Managing Control - Governing Body
Om Holdco, LLC9335572197Organization5% or Greater Direct Ownership Interest; ADP of the SNF100
Charles Franklin LLC4284019514Organization5% or Greater Indirect Ownership Interest; ADP of the SNF30
Charles Westland LLC0941700942Organization5% or Greater Indirect Ownership Interest30
Paar 108 LLC3375928609Organization5% or Greater Indirect Ownership Interest; ADP of the SNF30
Snw LLC2466837794Organization5% or Greater Indirect Ownership Interest; ADP of the SNF30
Hemant Shah 2018 Irrevocable Trust5193100428Organization5% or Greater Indirect Ownership Interest; ADP of the SNF29.7
Optalis LP Investors 1, LLC3870093867Organization5% or Greater Indirect Ownership Interest; ADP of the SNF10
Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel0547645871Organization5% or Greater Indirect Ownership Interest; ADP of the SNF7.5
Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel9739564063Organization5% or Greater Indirect Ownership Interest; ADP of the SNF7.5
Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-20208729463054Organization5% or Greater Indirect Ownership Interest; ADP of the SNF7.5
Rajan G Patel 2020 Irr Fam Tr Uad 12-3-20206002291333Organization5% or Greater Indirect Ownership Interest; ADP of the SNF7.5
Unknown party6406356401OrganizationIndirect Ownership Interest1.53
Unknown party1153821145OrganizationIndirect Ownership Interest1.4
Unknown party3375043375IndividualIndirect Ownership Interest0.4
Unknown party3072013069OrganizationIndirect Ownership Interest0.38
Unknown party2365942364IndividualIndirect Ownership Interest0.33
Unknown party7012417017IndividualIndirect Ownership Interest0.33
Unknown party5890295885OrganizationIndirect Ownership Interest0.3
Unknown party6608376603IndividualIndirect Ownership Interest0.3
Unknown party8527568518OrganizationIndirect Ownership Interest0.23
Unknown party9739689738IndividualIndirect Ownership Interest0.21
Unknown party5193225191IndividualIndirect Ownership Interest0.2
Unknown party0345740346IndividualIndirect Ownership Interest0.17
Unknown party1153821152IndividualIndirect Ownership Interest0.17
Unknown party9335649326OrganizationIndirect Ownership Interest0.17
Unknown party9638679632IndividualIndirect Ownership Interest0.17
Dilipbhai & Kalavati Patel Family Trust8123528122OrganizationIndirect Ownership Interest0.13
Unknown party0345740338OrganizationIndirect Ownership Interest0.13
Unknown party1557861556IndividualIndirect Ownership Interest0.13
Unknown party2264932250OrganizationIndirect Ownership Interest0.13
Unknown party2264932268IndividualIndirect Ownership Interest0.13
Unknown party2567962566IndividualIndirect Ownership Interest0.13
Unknown party2961902960IndividualIndirect Ownership Interest0.13
Unknown party5294235297IndividualIndirect Ownership Interest0.13
Unknown party5395245393IndividualIndirect Ownership Interest0.13
Unknown party5991205999IndividualIndirect Ownership Interest0.13
Unknown party6800396896OrganizationIndirect Ownership Interest0.13
Unknown party7810497815IndividualIndirect Ownership Interest0.13
Unknown party8628578614OrganizationIndirect Ownership Interest0.13
Unknown party3072013077IndividualIndirect Ownership Interest0.11
Unknown party0446750434OrganizationIndirect Ownership Interest0.1
Unknown party0446750442IndividualIndirect Ownership Interest0.1
Unknown party3971003971IndividualIndirect Ownership Interest0.1
Unknown party4183124183IndividualIndirect Ownership Interest0.1
Unknown party4789184789IndividualIndirect Ownership Interest0.1
Unknown party7517467509OrganizationIndirect Ownership Interest0.1
Unknown party7517467517IndividualIndirect Ownership Interest0.1
Unknown party7618477613IndividualIndirect Ownership Interest0.1
Unknown party9335649334IndividualIndirect Ownership Interest0.08
Unknown party4082114079OrganizationIndirect Ownership Interest0.07
Unknown party7719487719IndividualIndirect Ownership Interest0.07
Unknown party9830699834IndividualIndirect Ownership Interest0.07
Unknown party1052811056IndividualADP of the SNF
Schlaupitz Madhavan7517475569OrganizationADP of the SNF
Unknown party1951801950OrganizationADP of the SNF
Marianne B Conner6608930672IndividualADP of the SNF
Merchants Bank of Indiana3779083779Organization5% or Greater Mortgage Interest80
East West Bank7517190077Organization5% or Greater Security Interest10

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Shelby Health and Rehabilitation Center
Shelby Health and Rehabilitation Center, LLC
198 residents
Other disclo…
3.53Ovr★★★★Stf★★☆☆☆Ins★★★☆☆QM★★★★★198
Related CMS associates

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Name match to Shelby Health and Rehabilitation Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.