Camelot Health Care, Inc

Enrollment entity

Provider / enrollment organization Enrollment PAC 9537203799 Enrollment ID O20100225000746

Linked facilitiesFacilities

StatesStates

6 parties: 2 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Pinon Management, LLC	7315100252	Organization	Operational/Managerial Control	100
Qp Health Care Services LLC	6002078037	Organization	Operational/Managerial Control	—
Peter A Derego	1254516859	Individual	W-2 Managing Employee	100
Mary E Koretke	2365591294	Individual	W-2 Managing Employee	0
Jay H Moskowitz	3971591264	Individual	5% or Greater Direct Ownership Interest; Corporate Officer	75, 82
John D Brammeier	1557279445	Individual	5% or Greater Direct Ownership Interest; Corporate Officer	25, 18

Pinon Management, LLCPAC 7315100252
Organization100Operational/Managerial Control
Qp Health Care Services LLCPAC 6002078037
OrganizationOperational/Managerial Control
Peter A DeregoPAC 1254516859
Individual100W-2 Managing Employee
Mary E KoretkePAC 2365591294
Individual0W-2 Managing Employee
Jay H MoskowitzPAC 3971591264
Individual75, 825% or Greater Direct Ownership Interest; Corporate Officer
John D BrammeierPAC 1557279445
Individual25, 185% or Greater Direct Ownership Interest; Corporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Valley View Care Center Camelot Health Care, Inc 58 residents		Other disclo…	3.15	Ovr★★★☆☆Stf★★★★☆Ins★★☆☆☆QM★★★★★	58

Valley View Care Center
Camelot Health Care, Inc
Other disclosed role58 res3.15 HPRD
Overall 3Staffing Staff 4

Related CMS associates

Name match to Camelot Health Care, Inc in FEC filings. Similar names may appear—confirm on FEC.gov.