Pezzelli Nursing Home, Inc

Enrollment entity

Provider / enrollment organization Enrollment PAC 9830283464 Enrollment ID O20070913000357

Linked facilitiesFacilities

StatesStates

6 parties: 0 organizations · 6 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Paul Pezzelli	0446788640	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; Corporate Director	40, 100
Akindele Majekodunmi	9436325560	Individual	Operational/Managerial Control; ADP of the SNF	—
Lisa Pezzelli	4486749439	Individual	5% or Greater Direct Ownership Interest; ADP of the SNF; Direct Ownership Interest	20
Susan Pezzelli Whipple	9133215759	Individual	5% or Greater Direct Ownership Interest; ADP of the SNF; Direct Ownership Interest	20
Michelle Nichols	3173051372	Individual	5% or Greater Direct Ownership Interest; ADP of the SNF; Direct Ownership Interest	10
Raymond Hickey	5991233199	Individual	5% or Greater Direct Ownership Interest; ADP of the SNF; Direct Ownership Interest	10

Paul PezzelliPAC 0446788640
Individual40, 1005% or Greater Direct Ownership Interest; Corporate Officer
Akindele MajekodunmiPAC 9436325560
IndividualOperational/Managerial Control; ADP of the SNF
Lisa PezzelliPAC 4486749439
Individual205% or Greater Direct Ownership Interest; ADP of the SNF
Susan Pezzelli WhipplePAC 9133215759
Individual205% or Greater Direct Ownership Interest; ADP of the SNF
Michelle NicholsPAC 3173051372
Individual105% or Greater Direct Ownership Interest; ADP of the SNF
Raymond HickeyPAC 5991233199
Individual105% or Greater Direct Ownership Interest; ADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Golden Crest Nursing Centre Pezzelli Nursing Home, Inc 144 residents		Other disclo…	3.73	Ovr★★★★☆Stf★★★★☆Ins★★★★☆QM★★★★☆	144

Golden Crest Nursing Centre
Pezzelli Nursing Home, Inc
Other disclosed role144 res3.73 HPRD
Overall 4Staffing Staff 4

Related CMS associates

Name match to Pezzelli Nursing Home, Inc in FEC filings. Similar names may appear—confirm on FEC.gov.