Dac of Shelby, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 9537556923 Enrollment ID O20220504001299

Linked facilitiesFacilities

StatesStates

9 parties: 3 organizations · 6 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Zina Christian	8325433600	Individual	W-2 Managing Employee; ADP of the SNF	—
Dac Opco Mississippi LLC	5890173322	Organization	5% or Greater Direct Ownership Interest	100
Dac Acquisition LLC	5395135073	Organization	5% or Greater Indirect Ownership Interest	100
Dac Opco, LLC	7517345044	Organization	5% or Greater Indirect Ownership Interest	61
Brian Kohn	6103115050	Individual	Corporate Officer	—
Stephen Michael Nee	2466698592	Individual	Corporate Officer	—
Eran Ratner	3173863297	Individual	Corporate Officer; Corporate Director	—
Matthew J Weishaar	3678574761	Individual	Corporate Officer	—
Rebecca B Bodie	9234323239	Individual	Corporate Officer	—

Zina ChristianPAC 8325433600
IndividualW-2 Managing Employee; ADP of the SNF
Dac Opco Mississippi LLCPAC 5890173322
Organization1005% or Greater Direct Ownership Interest
Dac Acquisition LLCPAC 5395135073
Organization1005% or Greater Indirect Ownership Interest
Dac Opco, LLCPAC 7517345044
Organization615% or Greater Indirect Ownership Interest
Brian KohnPAC 6103115050
IndividualCorporate Officer
Stephen Michael NeePAC 2466698592
IndividualCorporate Officer
Eran RatnerPAC 3173863297
IndividualCorporate Officer; Corporate Director
Matthew J WeishaarPAC 3678574761
IndividualCorporate Officer
Rebecca B BodiePAC 9234323239
IndividualCorporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Diversicare of Shelby Dac of Shelby, LLC 57 residents		Other disclo…	3.16	Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM★★☆☆☆	57

Diversicare of Shelby
Dac of Shelby, LLC
Other disclosed role57 res3.16 HPRD
Overall 3Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
04/01/2022	Diversicare of Shelby	Dac of Shelby, LLC	Ms Shelby LLC	Buyer

Related CMS associates

Name match to Dac of Shelby, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.