Optalis Wyoming Opco LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9234647173 Enrollment ID O20250801003912

Details

Linked facilitiesFacilities
1
StatesStates
1

19 parties: 13 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Amy Stanton3678081510IndividualOperational/Managerial Control
Miriam Yvonne Veldt9032360474IndividualOperational/Managerial Control; ADP of the SNF
Optum Management Solutions. Inc2062845829OrganizationOperational/Managerial Control; ADP of the SNF
Robert Sharon9830517457IndividualOperational/Managerial Control
Susan Wortman4587172424IndividualOperational/Managerial Control; ADP of the SNF
Rajan Patel6002020146IndividualCorporate Officer; Managing Control - Governing Body
Om Holdco 7 LLC0547761355Organization5% or Greater Direct Ownership Interest100
Paar 108 LLC3375928609Organization5% or Greater Indirect Ownership Interest100
Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel0547645871Organization5% or Greater Indirect Ownership Interest25
Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel9739564063Organization5% or Greater Indirect Ownership Interest25
Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-20208729463054Organization5% or Greater Indirect Ownership Interest25
Rajan G Patel 2020 Irr Fam Tr Uad 12-3-20206002291333Organization5% or Greater Indirect Ownership Interest25
625 36TH St Sw Propco LLC1355843343OrganizationADP of the SNF
Cliftonlarsonallen LLP1456885441OrganizationADP of the SNF
Marianne B Conner6608930672IndividualADP of the SNF
Schlaupitz Madhavan7517475569OrganizationADP of the SNF
Unknown party0345742334OrganizationADP of the SNF
Unknown party4082116074OrganizationADP of the SNF
Unknown party8527560515OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Optalis Health & Rehabilitation of Wyoming
Optalis Wyoming Opco LLC
78 residents
Other disclo…
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Related CMS associates

FEC political contributions FEC contributions Beta

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