Pine Ridge Rehabilitation and Healthcare Center LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 1355710443 Enrollment ID O20221213000016

Linked facilitiesFacilities

StatesStates

33 parties: 18 organizations · 15 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Refoel Gottlieb	1658747639	Individual	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Managing Control - Governing Body	20
Mark W Turpen	2961661426	Individual	Operational/Managerial Control; ADP of the SNF	—
Dawn Cochran	1254847494	Individual	Operational/Managerial Control; ADP of the SNF	—
Capital Finance LLC	8123282514	Organization	5% or Greater Security Interest; Operational/Managerial Control	—
Gotts Consulting Colorado LLC	2264801356	Organization	Operational/Managerial Control	—
Centennial III Colorado Holdco LLC	0941676928	Organization	5% or Greater Direct Ownership Interest	100
Centennial I Tbd Holdco LLC	0941677207	Organization	5% or Greater Indirect Ownership Interest	100
Centennial Mn Tr I	4587030564	Organization	5% or Greater Indirect Ownership Interest; ADP of the SNF	17.74
Centennial Ms Trust I	8022484005	Organization	5% or Greater Indirect Ownership Interest; ADP of the SNF	17.74
Centennial Yf Trust I	5395111371	Organization	5% or Greater Indirect Ownership Interest; ADP of the SNF	17.73
Emssah Non- Grantor Trust	1759757735	Organization	5% or Greater Indirect Ownership Interest	9.51
Centennial M Trust II	7113432436	Organization	5% or Greater Indirect Ownership Interest	7
Unknown party	6901316967	Individual	Indirect Ownership Interest	2
Unknown party	0547788184	Individual	Indirect Ownership Interest	1
Unknown party	1850801812	Individual	Indirect Ownership Interest	1
Unknown party	8921519125	Individual	Trustee of the SNF; Indirect Ownership Interest	1
Unknown party	0648786848	Organization	Indirect Ownership Interest	0.93
Unknown party	4587170782	Organization	Indirect Ownership Interest	0.93
Unknown party	7719493816	Organization	Indirect Ownership Interest	0.93
Unknown party	5991210858	Individual	Indirect Ownership Interest	0.75
Unknown party	6305356361	Individual	Indirect Ownership Interest	0.75
Unknown party	9830605013	Individual	Indirect Ownership Interest	0.5
Unknown party	9436665536	Organization	ADP of the SNF; Indirect Ownership Interest	0.49
Unknown party	3678089778	Organization	ADP of the SNF	—
Unknown party	1759897853	Organization	ADP of the SNF	—

Refoel GottliebPAC 1658747639
Individual205% or Greater Indirect Ownership Interest; Operational/Managerial Control
Mark W TurpenPAC 2961661426
IndividualOperational/Managerial Control; ADP of the SNF
Dawn CochranPAC 1254847494
IndividualOperational/Managerial Control; ADP of the SNF
Capital Finance LLCPAC 8123282514
Organization5% or Greater Security Interest; Operational/Managerial Control
Gotts Consulting Colorado LLCPAC 2264801356
OrganizationOperational/Managerial Control
Centennial III Colorado Holdco LLCPAC 0941676928
Organization1005% or Greater Direct Ownership Interest
Centennial I Tbd Holdco LLCPAC 0941677207
Organization1005% or Greater Indirect Ownership Interest
Centennial Mn Tr IPAC 4587030564
Organization17.745% or Greater Indirect Ownership Interest; ADP of the SNF
Centennial Ms Trust IPAC 8022484005
Organization17.745% or Greater Indirect Ownership Interest; ADP of the SNF
Centennial Yf Trust IPAC 5395111371
Organization17.735% or Greater Indirect Ownership Interest; ADP of the SNF
Emssah Non- Grantor TrustPAC 1759757735
Organization9.515% or Greater Indirect Ownership Interest
Centennial M Trust IIPAC 7113432436
Organization75% or Greater Indirect Ownership Interest
Unknown partyPAC 6901316967
Individual2Indirect Ownership Interest
Unknown partyPAC 0547788184
Individual1Indirect Ownership Interest
Unknown partyPAC 1850801812
Individual1Indirect Ownership Interest
Unknown partyPAC 8921519125
Individual1Trustee of the SNF; Indirect Ownership Interest
Unknown partyPAC 0648786848
Organization0.93Indirect Ownership Interest
Unknown partyPAC 4587170782
Organization0.93Indirect Ownership Interest
Unknown partyPAC 7719493816
Organization0.93Indirect Ownership Interest
Unknown partyPAC 5991210858
Individual0.75Indirect Ownership Interest
Unknown partyPAC 6305356361
Individual0.75Indirect Ownership Interest
Unknown partyPAC 9830605013
Individual0.5Indirect Ownership Interest
Unknown partyPAC 9436665536
Organization0.49ADP of the SNF; Indirect Ownership Interest
Unknown partyPAC 3678089778
OrganizationADP of the SNF
Unknown partyPAC 1759897853
OrganizationADP of the SNF

Show all 33 parties (8 more)

Name	Owner/control PAC	Type	Role(s)	%
Refoel Gottlieb	1658747639	Individual	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Managing Control - Governing Body	20
Mark W Turpen	2961661426	Individual	Operational/Managerial Control; ADP of the SNF	—
Dawn Cochran	1254847494	Individual	Operational/Managerial Control; ADP of the SNF	—
Capital Finance LLC	8123282514	Organization	5% or Greater Security Interest; Operational/Managerial Control	—
Gotts Consulting Colorado LLC	2264801356	Organization	Operational/Managerial Control	—
Centennial III Colorado Holdco LLC	0941676928	Organization	5% or Greater Direct Ownership Interest	100
Centennial I Tbd Holdco LLC	0941677207	Organization	5% or Greater Indirect Ownership Interest	100
Centennial Mn Tr I	4587030564	Organization	5% or Greater Indirect Ownership Interest; ADP of the SNF	17.74
Centennial Ms Trust I	8022484005	Organization	5% or Greater Indirect Ownership Interest; ADP of the SNF	17.74
Centennial Yf Trust I	5395111371	Organization	5% or Greater Indirect Ownership Interest; ADP of the SNF	17.73
Emssah Non- Grantor Trust	1759757735	Organization	5% or Greater Indirect Ownership Interest	9.51
Centennial M Trust II	7113432436	Organization	5% or Greater Indirect Ownership Interest	7
Unknown party	6901316967	Individual	Indirect Ownership Interest	2
Unknown party	0547788184	Individual	Indirect Ownership Interest	1
Unknown party	1850801812	Individual	Indirect Ownership Interest	1
Unknown party	8921519125	Individual	Trustee of the SNF; Indirect Ownership Interest	1
Unknown party	0648786848	Organization	Indirect Ownership Interest	0.93
Unknown party	4587170782	Organization	Indirect Ownership Interest	0.93
Unknown party	7719493816	Organization	Indirect Ownership Interest	0.93
Unknown party	5991210858	Individual	Indirect Ownership Interest	0.75
Unknown party	6305356361	Individual	Indirect Ownership Interest	0.75
Unknown party	9830605013	Individual	Indirect Ownership Interest	0.5
Unknown party	9436665536	Organization	ADP of the SNF; Indirect Ownership Interest	0.49
Unknown party	3678089778	Organization	ADP of the SNF	—
Unknown party	1759897853	Organization	ADP of the SNF	—
Unknown party	6204342306	Organization	ADP of the SNF	—
Unknown party	6406362508	Organization	ADP of the SNF	—
Unknown party	7315453420	Organization	ADP of the SNF	—
Unknown party	6103331053	Individual	Trustee of the SNF	—
Unknown party	6204347412	Individual	Trustee of the SNF	—
Unknown party	7911418660	Individual	Trustee of the SNF	—
Unknown party	8820507502	Individual	Trustee of the SNF	—
Unknown party	9234644196	Individual	Trustee of the SNF	—

Refoel GottliebPAC 1658747639
Individual205% or Greater Indirect Ownership Interest; Operational/Managerial Control
Mark W TurpenPAC 2961661426
IndividualOperational/Managerial Control; ADP of the SNF
Dawn CochranPAC 1254847494
IndividualOperational/Managerial Control; ADP of the SNF
Capital Finance LLCPAC 8123282514
Organization5% or Greater Security Interest; Operational/Managerial Control
Gotts Consulting Colorado LLCPAC 2264801356
OrganizationOperational/Managerial Control
Centennial III Colorado Holdco LLCPAC 0941676928
Organization1005% or Greater Direct Ownership Interest
Centennial I Tbd Holdco LLCPAC 0941677207
Organization1005% or Greater Indirect Ownership Interest
Centennial Mn Tr IPAC 4587030564
Organization17.745% or Greater Indirect Ownership Interest; ADP of the SNF
Centennial Ms Trust IPAC 8022484005
Organization17.745% or Greater Indirect Ownership Interest; ADP of the SNF
Centennial Yf Trust IPAC 5395111371
Organization17.735% or Greater Indirect Ownership Interest; ADP of the SNF
Emssah Non- Grantor TrustPAC 1759757735
Organization9.515% or Greater Indirect Ownership Interest
Centennial M Trust IIPAC 7113432436
Organization75% or Greater Indirect Ownership Interest
Unknown partyPAC 6901316967
Individual2Indirect Ownership Interest
Unknown partyPAC 0547788184
Individual1Indirect Ownership Interest
Unknown partyPAC 1850801812
Individual1Indirect Ownership Interest
Unknown partyPAC 8921519125
Individual1Trustee of the SNF; Indirect Ownership Interest
Unknown partyPAC 0648786848
Organization0.93Indirect Ownership Interest
Unknown partyPAC 4587170782
Organization0.93Indirect Ownership Interest
Unknown partyPAC 7719493816
Organization0.93Indirect Ownership Interest
Unknown partyPAC 5991210858
Individual0.75Indirect Ownership Interest
Unknown partyPAC 6305356361
Individual0.75Indirect Ownership Interest
Unknown partyPAC 9830605013
Individual0.5Indirect Ownership Interest
Unknown partyPAC 9436665536
Organization0.49ADP of the SNF; Indirect Ownership Interest
Unknown partyPAC 3678089778
OrganizationADP of the SNF
Unknown partyPAC 1759897853
OrganizationADP of the SNF
Unknown partyPAC 6204342306
OrganizationADP of the SNF
Unknown partyPAC 6406362508
OrganizationADP of the SNF
Unknown partyPAC 7315453420
OrganizationADP of the SNF
Unknown partyPAC 6103331053
IndividualTrustee of the SNF
Unknown partyPAC 6204347412
IndividualTrustee of the SNF
Unknown partyPAC 7911418660
IndividualTrustee of the SNF
Unknown partyPAC 8820507502
IndividualTrustee of the SNF
Unknown partyPAC 9234644196
IndividualTrustee of the SNF

Linked facilities

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Pine Ridge Rehabilitation and Healthcare Center Pine Ridge Rehabilitation and Healthcare Center LLC 44 residents		Other disclo…	2.59	Ovr★★★☆☆Stf★☆☆☆☆Ins★★★☆☆QM★★★★★	44

Pine Ridge Rehabilitation and Healthcare Center
Pine Ridge Rehabilitation and Healthcare Center LLC
Other disclosed role44 res2.59 HPRD
Overall 3Staffing Staff 1

Ownership history

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
09/01/2022	Pine Ridge Rehabilitation and Healthcare Center	Pine Ridge Rehabilitation and Healthcare Center LLC	Pine Ridge Extend Care Center, LLC	Buyer

09/01/2022
Pine Ridge Rehabilitation and Healthcare Center (Buyer)
Pine Ridge Extend Care Center, LLC → Pine Ridge Rehabilitation and Healthcare Center LLC

Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Pine Ridge Rehabilitation and Healthcare Center LLC in FEC filings. Similar names may appear—confirm on FEC.gov.

Owners & control parties

Linked facilities

Ownership history

FEC political contributions FEC contributions Beta How it works

FEC political contributions FEC contributions Beta