Ccla 9 LLC

Mixed CMS roles

Provider / enrollment organization Enrollment PAC 3476735200 Enrollment ID O20110315000604, O20120117000189

Linked facilitiesFacilities

4 parties: 1 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Timothy Kamego	4486836251	Individual	Corporate Officer; Contracted Managing Employee; Corporate Director	0, 100
Antonio Simbeni	0547643215	Individual	W-2 Managing Employee	0
Drsn Associates LLC	3971810441	Organization	5% or Greater Direct Ownership Interest	100
Richard Levin	9931381704	Individual	Corporate Officer	100

Timothy KamegoPAC 4486836251
Individual0, 100Corporate Officer; Contracted Managing Employee
Antonio SimbeniPAC 0547643215
Individual0W-2 Managing Employee
Drsn Associates LLCPAC 3971810441
Organization1005% or Greater Direct Ownership Interest
Richard LevinPAC 9931381704
Individual100Corporate Officer

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Riverview Health and Rehab Center North Ccla 9 LLC 141 residents		Other disclo…	3.76	Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★☆☆	141

Riverview Health and Rehab Center North
Ccla 9 LLC
Other disclosed role141 res3.76 HPRD
Overall 2Staffing Staff 2

Related CMS associates

Name match to Ccla 9 LLC in FEC filings. Similar names may appear—confirm on FEC.gov.