PBJ320 Ownership

Blue Lake Post Acute LLC

Provider / enrollment organizationFlorida
Enrollment PAC3274903653Enrollment IDO20221229000261

By state

State#
FL1
Total1

Details

Enrollment entity. CMS facility enrollment PAC with linked owners, facilities, and any ownership transactions in CMS data.
Total Facilities
1
Overall rating
1.0
Total nurse HPRD
3.26

25 parties: 7 organizations · 18 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Elevation Healthcare LLC7517337991Organization5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Kenneth M Funk2860428380Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control100
Alyssa Kolp0749773760IndividualOperational/Managerial Control; ADP of the SNF
Brittani Daniels5294228219IndividualOperational/Managerial Control; ADP of the SNF
Alexis E Campbell7214420256IndividualOperational/Managerial Control; ADP of the SNF
Michelle Karpowicz8123511169IndividualOperational/Managerial Control; ADP of the SNF
Jacob Lindsey8820440126IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Alana C Kemp6406349448IndividualOperational/Managerial Control; ADP of the SNF
Sheree Eason6204329220IndividualOperational/Managerial Control; ADP of the SNF
Howard Lipkowitz3476046491IndividualOperational/Managerial Control; ADP of the SNF
Patrica Romero6406882711IndividualOperational/Managerial Control; ADP of the SNF
Jeremiah Neubia7012400047IndividualOperational/Managerial Control; ADP of the SNF
Sterling D Smith7416323332IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Matthew W Funk8224521240IndividualOperational/Managerial Control; ADP of the SNF
Husam E Eddin7113945874IndividualOperational/Managerial Control; ADP of the SNF
Spencer Mcconnon6103319124IndividualOperational/Managerial Control; ADP of the SNF
Daniel W Funk0042210924IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Blue Lake Post Cute Holdco LLC3072983451Organization5% or Greater Direct Ownership Interest100
Kmom LLC5193196756Organization5% or Greater Indirect Ownership Interest100
Unknown party8426541467OrganizationADP of the SNF
Unknown party9335632371OrganizationADP of the SNF
Unknown party6800389842OrganizationADP of the SNF
Unknown party5496248445IndividualADP of the SNF
Unknown party3971096918IndividualADP of the SNF
Unknown party6709379746OrganizationADP of the SNF

Blue Lake Post Acute LLC Portfolio

Facility Location % Own. HPRD Ratings Census Flags
Blue Lake Post Acute
Blue Lake Post Acute LLC
51 residents
Other disclo…
3.26Ovr☆☆☆☆Stf☆☆☆☆Ins☆☆☆☆QM★★★★51
  • Blue Lake Post Acute LLC
    Other disclosed role51 res3.26 HPRD
    Ovr 1Stf 1

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
09/08/2022Blue Lake Post AcuteBlue Lake Post Acute LLCUniversity Center East Operating LLCBuyer
  1. 09/08/2022
    University Center East Operating LLCBlue Lake Post Acute LLC
Associated Owners · 1
Show associated owners
NameSharedLink
University Center East Operating LLC1 CHOW

FEC political contributions FEC contributions Beta

Name match to Blue Lake Post Acute LLC in FEC filings. Similar names may appear—confirm on FEC.gov.