Fallsview at Boonton

Enrollment entity

Provider / enrollment organization Enrollment PAC 8426429556 Enrollment ID O20230126003454

Linked facilitiesFacilities

StatesStates

3 parties: 1 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Umang Shah	4880065911	Individual	W-2 Managing Employee	—
Benjamin Kurland	4981779576	Individual	5% or Greater Direct Ownership Interest	99
Customers Bank	3971974007	Organization	5% or Greater Mortgage Interest; 5% or Greater Security Interest	100

Umang ShahPAC 4880065911
IndividualW-2 Managing Employee
Benjamin KurlandPAC 4981779576
Individual995% or Greater Direct Ownership Interest
Customers BankPAC 3971974007
Organization1005% or Greater Mortgage Interest; 5% or Greater Security Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Fallsview Nursing and Rehabilitation Center Fallsview at Boonton 85 residents		Other disclo…	3.85	Ovr★★★☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★★	85

Fallsview Nursing and Rehabilitation Center
Fallsview at Boonton
Other disclosed role85 res3.85 HPRD
Overall 3Staffing Staff 2

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
10/25/2022	Fallsview Nursing and Rehabilitation Center	Fallsview at Boonton	Boonton Care Center LLC	Buyer

10/25/2022
Fallsview Nursing and Rehabilitation Center (Buyer)
Boonton Care Center LLC → Fallsview at Boonton

Related CMS associates

Name match to Fallsview at Boonton in FEC filings. Similar names may appear—confirm on FEC.gov.