Blue Lake Post Acute LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 3274903653 Enrollment ID O20221229000261

Details

Linked facilitiesFacilities
1
StatesStates
1

23 parties: 8 organizations · 15 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Elevation Healthcare LLC7517337991OrganizationOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest100
Kenneth M Funk2860428380IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF100
Jorge L Martinez Salas4486058088IndividualOperational/Managerial Control; ADP of the SNF
James Hayward0547743288IndividualOperational/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 Lindsey8820440126IndividualOperational/Managerial Control; Managing Control - Governing Body; 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
Patricia Romero6406882711IndividualOperational/Managerial Control; ADP of the SNF
Jeremiah Neubia7012400047IndividualOperational/Managerial Control; ADP of the SNF
Sterling D Smith7416323332IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Husam E Eddin7113945874IndividualOperational/Managerial Control; ADP of the SNF
Blue Lake Post Cute Holdco LLC3072983451OrganizationDirect Ownership Interest100
Kmom LLC5193196756OrganizationIndirect Ownership Interest100
Unknown party8426541467OrganizationADP of the SNF
Unknown party9335632371OrganizationADP of the SNF
Unknown party6800389842OrganizationADP of the SNF
Unknown party2264904036OrganizationADP of the SNF
Unknown party3971096918IndividualADP of the SNF
Unknown party6709379746OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Blue Lake Post Acute
Blue Lake Post Acute LLC
51 residents
Other disclo…
Ovr☆☆☆☆Stf☆☆☆☆Ins☆☆☆☆QM★★★★51
  • Blue Lake Post Acute LLC
    Other disclosed role51 res
    Overall 1Staffing Staff 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
Related CMS associates

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.