Ellen Memorial LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 2365785359 Enrollment ID O20190514002452

Linked facilitiesFacilities

StatesStates

3 parties: 0 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Shira Lynne Lipperini Ramirez	6709852601	Individual	W-2 Managing Employee	100
Richard S Buckman	4688714553	Individual	5% or Greater Direct Ownership Interest; Corporate Officer	92.5
Charles Galat	9638447758	Individual	5% or Greater Direct Ownership Interest	7.5

Shira Lynne Lipperini RamirezPAC 6709852601
Individual100W-2 Managing Employee
Richard S BuckmanPAC 4688714553
Individual92.55% or Greater Direct Ownership Interest; Corporate Officer
Charles GalatPAC 9638447758
Individual7.55% or Greater Direct Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Ellen Memorial Rehabilitation and Healthcare Cente Ellen Memorial LLC 116 residents		Other disclo…	3.57	Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★☆	116

Ellen Memorial Rehabilitation and Healthcare Cente
Ellen Memorial LLC
Other disclosed role116 res3.57 HPRD
Overall 2Staffing Staff 2

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
06/01/2019	Ellen Memorial Rehabilitation and Healthcare Cente	Ellen Memorial LLC	Ellen Memorial Health Care Center	Buyer

06/01/2019
Ellen Memorial Rehabilitation and Healthcare Cente (Buyer)
Ellen Memorial Health Care Center → Ellen Memorial LLC

Related CMS associates

Name match to Ellen Memorial LLC in FEC filings. Similar names may appear—confirm on FEC.gov.