69 Cottage Road Opco LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 2163928698 Enrollment ID O20251002003019

Details

Linked facilitiesFacilities
1
StatesStates
1

20 parties: 14 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Alyssa L Clark4587920335IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Brandon M Roscoe7517018591IndividualOperational/Managerial Control; ADP of the SNF
Louann Simpson1658592027IndividualOperational/Managerial Control; ADP of the SNF
Michele Criag5597772509IndividualOperational/Managerial Control; ADP of the SNF
Tequilla Jones8022520253IndividualOperational/Managerial Control; ADP of the SNF
Tiffany Hoback7315391984IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
SNF Mgr LLC4688186810OrganizationOperational/Managerial Control; ADP of the SNF
Mifflin Parentco LLC3072019504Organization5% or Greater Direct Ownership Interest100
Juniata Holdco LLC5890291322Organization5% or Greater Indirect Ownership Interest100
Paop Holdco LLC8820501760Organization5% or Greater Indirect Ownership Interest100
SNF Care Centers LLC3870005002Organization5% or Greater Indirect Ownership Interest100
Zenith Holdco II LLC5698287829Organization5% or Greater Indirect Ownership Interest100
Zenith Holdco LLC7315459542Organization5% or Greater Indirect Ownership Interest100
Nu C II Irrevocable Trust1951813187Organization5% or Greater Indirect Ownership Interest50
Nu C Irrevocable Trust9133631369Organization5% or Greater Indirect Ownership Interest50
Mifflin Re Owner, LLC5799281226Organization5% or Greater Security Interest; ADP of the SNF
Unknown party2062918592OrganizationADP of the SNF
Unknown party6608372131OrganizationADP of the SNF
Unknown party1153827688OrganizationADP of the SNF
Unknown party3971009408OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Locust Grove Retirement Village
69 Cottage Road Opco LLC
66 residents
Other disclo…
3.91Ovr★★★☆☆Stf★★★★Ins★★★☆☆QM★★★★66

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
06/01/2025Locust Grove Retirement Village69 Cottage Road Opco LLCLocust Grove Facility Operations, LLCBuyer
  1. 06/01/2025
    Locust Grove Facility Operations, LLC69 Cottage Road Opco LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to 69 Cottage Road Opco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.