Ccrc of Lenexa LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 0446518740 Enrollment ID O20171214000758

Details

Linked facilitiesFacilities
1
StatesStates
1

23 parties: 14 organizations · 9 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Pivotal Health Care LLC3375718075OrganizationOperational/Managerial Control; ADP of the SNF100
Scenic Development LLC7810162518Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; Direct Ownership Interest23.77
Scott E Gulledge3870402357IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest3.39
Gilbert R Wood6800704438IndividualOperational/Managerial Control; Indirect Ownership Interest2.43
Jordan R Anderson7618358771IndividualOperational/Managerial Control; Indirect Ownership Interest1.94
Travis S Gulledge6901338334IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest0.96
Clayton Frans8820567084IndividualOperational/Managerial Control; ADP of the SNF
Caroline Martin7911298310IndividualOperational/Managerial Control; ADP of the SNF
Scenic Holdings LLC4082951249Organization5% or Greater Direct Ownership Interest; Direct Ownership Interest76.23
Wsg LLC5991972002Organization5% or Greater Indirect Ownership Interest; Indirect Ownership Interest17.83
Poky - 5R LLC6002081700Organization5% or Greater Indirect Ownership Interest; Indirect Ownership Interest12.29
Steven M Howard0648351148Individual5% or Greater Indirect Ownership Interest; Indirect Ownership Interest10.12
Cadet Investment LLC4284809989Organization5% or Greater Indirect Ownership Interest; Indirect Ownership Interest9.72
Marlene A Anderson5991613523Individual5% or Greater Indirect Ownership Interest; Indirect Ownership Interest5.33, 6.49
Wayne C Anderson3173431707Individual5% or Greater Indirect Ownership Interest; Indirect Ownership Interest5.33, 6.49
5 R Cattle, LLC5698287092OrganizationIndirect Ownership Interest6.15
Lmray, LLC6507378908OrganizationIndirect Ownership Interest6.15
3RK, LLC7315459716OrganizationIndirect Ownership Interest6.13
Unknown party8123532611OrganizationADP of the SNF
Unknown party9032623525OrganizationADP of the SNF
Curana Health of MISSOURI-KANSAS LLC4789716531OrganizationADP of the SNF
Summit Care, LLC7315073954OrganizationADP of the SNF
Unknown party0244745149OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Westchester Village of Lenexa
Ccrc of Lenexa LLC
31 residents
Other disclo…
5.11Ovr★★★★Stf★★★★Ins★★★★QM★★☆☆☆31
Related CMS associates

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Name match to Ccrc of Lenexa LLC in FEC filings. Similar names may appear—confirm on FEC.gov.