Senior Care Forest Lake, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 2264531037 Enrollment ID O20070619000471

Details

Linked facilitiesFacilities
1
StatesStates
1

24 parties: 7 organizations · 17 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Megan Miller4385126580IndividualOperational/Managerial Control; ADP of the SNF
Ryan King5890203731IndividualOperational/Managerial Control; ADP of the SNF
Yasser Chebli3173832359IndividualOperational/Managerial Control; ADP of the SNF
Lifespark Management Services7618485558OrganizationOperational/Managerial Control; ADP of the SNF
Senior Care Communities0446274930Organization5% or Greater Direct Ownership Interest; ADP of the SNF100
Molly Toulouse6608944335IndividualCorporate Officer
Richard Martin4789783556IndividualCorporate Director20
Susan Landwehr Marshall2062436561IndividualCorporate Director20
Trisha Kramer5294217493IndividualADP of the SNF
Grape Tree Medical Staffing LLC5294863064OrganizationADP of the SNF
Shiftster LLC7214453703OrganizationADP of the SNF
Lifesprk Holdings, Inc.8628494762OrganizationADP of the SNF
Twsl. LLC9436667375OrganizationADP of the SNF
Unknown party2466934666IndividualADP of the SNF
Unknown party6002398203IndividualADP of the SNF
Unknown party9739661935IndividualADP of the SNF
Unknown party4284116484IndividualADP of the SNF
Unknown party0547742744IndividualADP of the SNF
Unknown party8729560925IndividualADP of the SNF
Aegis Therapies, Inc.6204746860OrganizationADP of the SNF
Unknown party0749762946IndividualTrustee of the SNF
Unknown party2567944762IndividualTrustee of the SNF
Unknown party4486136686IndividualTrustee of the SNF
Unknown party7012499213IndividualTrustee of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Birchwood Health Care Center
Senior Care Forest Lake, LLC
84 residents
Other disclo…
3.86Ovr★★☆☆☆Stf★★★★Ins☆☆☆☆QM★★★★★84
  • Senior Care Forest Lake, LLC
    Other disclosed role84 res3.86 HPRD
    Overall 2Staffing Staff 4
Related CMS associates

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Name match to Senior Care Forest Lake, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.