10425 Opco LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 2365813672 Enrollment ID O20230125000610

Linked facilitiesFacilities

StatesStates

17 parties: 14 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Kayatana Sanders	4486155942	Individual	Operational/Managerial Control; ADP of the SNF	—
Srinath Tadakamalla	8921094624	Individual	Operational/Managerial Control; ADP of the SNF	—
David Garetz	8527498997	Individual	Operational/Managerial Control	—
El Dorado Nursing and Rehabilitation LLC	3274904511	Organization	Direct Ownership Interest	100
Caliber Advisors LLC	5294100517	Organization	Indirect Ownership Interest	97
Crestview Trust	5092186338	Organization	Indirect Ownership Interest	63.33
Rimpau Holdings Trust	4880024025	Organization	Indirect Ownership Interest	34.1
Sasem Investments LLC	3072040534	Organization	Indirect Ownership Interest	2.58
First Sweetzer Holdings LLC	1254868714	Organization	ADP of the SNF; Indirect Ownership Interest	2
Hatteras Investments LLC	7911425772	Organization	ADP of the SNF; Indirect Ownership Interest	1
10425 Chestnut Drive Mo, LLC	9830690387	Organization	5% or Greater Mortgage Interest; ADP of the SNF	100
Ozark Healthcare Realty LLC	3476071234	Organization	5% or Greater Mortgage Interest; ADP of the SNF	100
Montgomery Sky Trust	3971933110	Organization	5% or Greater Mortgage Interest; ADP of the SNF	99
Emerald Property Partners LLC	4385162148	Organization	5% or Greater Mortgage Interest; ADP of the SNF	97
Gibraltar Trust	8224568811	Organization	5% or Greater Mortgage Interest; ADP of the SNF	20
Esdov Investments LLC	0345777801	Organization	ADP of the SNF	—
Jubilee Master Holdings LLC	6103344965	Organization	ADP of the SNF	—

Kayatana SandersPAC 4486155942
IndividualOperational/Managerial Control; ADP of the SNF
Srinath TadakamallaPAC 8921094624
IndividualOperational/Managerial Control; ADP of the SNF
David GaretzPAC 8527498997
IndividualOperational/Managerial Control
El Dorado Nursing and Rehabilitation LLCPAC 3274904511
Organization100Direct Ownership Interest
Caliber Advisors LLCPAC 5294100517
Organization97Indirect Ownership Interest
Crestview TrustPAC 5092186338
Organization63.33Indirect Ownership Interest
Rimpau Holdings TrustPAC 4880024025
Organization34.1Indirect Ownership Interest
Sasem Investments LLCPAC 3072040534
Organization2.58Indirect Ownership Interest
First Sweetzer Holdings LLCPAC 1254868714
Organization2ADP of the SNF; Indirect Ownership Interest
Hatteras Investments LLCPAC 7911425772
Organization1ADP of the SNF; Indirect Ownership Interest
10425 Chestnut Drive Mo, LLCPAC 9830690387
Organization1005% or Greater Mortgage Interest; ADP of the SNF
Ozark Healthcare Realty LLCPAC 3476071234
Organization1005% or Greater Mortgage Interest; ADP of the SNF
Montgomery Sky TrustPAC 3971933110
Organization995% or Greater Mortgage Interest; ADP of the SNF
Emerald Property Partners LLCPAC 4385162148
Organization975% or Greater Mortgage Interest; ADP of the SNF
Gibraltar TrustPAC 8224568811
Organization205% or Greater Mortgage Interest; ADP of the SNF
Esdov Investments LLCPAC 0345777801
OrganizationADP of the SNF
Jubilee Master Holdings LLCPAC 6103344965
OrganizationADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Hilltop at Blue River, the 10425 Opco LLC 147 residents		Other disclo…	2.62	Ovr★★☆☆☆Stf★☆☆☆☆Ins★★☆☆☆QM★★★★★	147

Hilltop at Blue River, the
10425 Opco LLC
Other disclosed role147 res2.62 HPRD
Overall 2Staffing Staff 1

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
12/12/2022	Hilltop at Blue River, the	10425 Opco LLC	Blue River Mo Consulting LLC	Buyer

12/12/2022
Hilltop at Blue River, the (Buyer)
Blue River Mo Consulting LLC → 10425 Opco LLC

Related CMS associates

Name match to 10425 Opco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.