Lake Village Operations LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 3870033988 Enrollment ID O20240904001411

Details

Linked facilitiesFacilities
1
StatesStates
1

24 parties: 16 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
John R Russell8022086404IndividualOperational/Managerial Control; ADP of the SNF
Amanda Wallace2668527540IndividualOperational/Managerial Control; ADP of the SNF
4P2T1 Ops Holding LP8820329444Organization5% or Greater Direct Ownership Interest; ADP of the SNF100
Jej Assets LP0840566220Organization5% or Greater Indirect Ownership Interest; ADP of the SNF100
John F Ponthie6800708710Individual5% or Greater Indirect Ownership Interest; Corporate Officer20, 100
Sharlot Ponthie7911399258Individual5% or Greater Indirect Ownership Interest50
Ponthie Investments Limited Partnership4183955701Organization5% or Greater Indirect Ownership Interest40
Grace Ponthie8325575871IndividualADP of the SNF
Mark K Thompson7911811518IndividualADP of the SNF
Ross M Ponthie8123035888IndividualADP of the SNF
Mark Kelly Thmpson 2020 CHIKDREN'S Trust3779807375OrganizationADP of the SNF
Mark Thompson Family Management LLC5395272256OrganizationADP of the SNF
Ponthie Management LLC0648707505OrganizationADP of the SNF
Tammy Ann Thompson 2021 CHILDREN'S Trust1456888312OrganizationADP of the SNF
LV SNF Assets LLC7416483359OrganizationADP of the SNF
Procare Therapy Services LLC2264968114OrganizationADP of the SNF
Teams Staffing LLC0345776290OrganizationADP of the SNF
4P2T1 Asset Holding, LP9537558218OrganizationADP of the SNF
ALEXARK1 LLC4284965807OrganizationADP of the SNF
Arkgpa LLC8224564794OrganizationADP of the SNF
Jej Management, LLC4385036623OrganizationADP of the SNF
Mark Thompson Family Management Ltd7719218080OrganizationADP of the SNF
Tammy Thompson3476089947IndividualADP of the SNF
Southern Administrative Services, LLC8022243708OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Lake Village Rehabilitation and Care Center
Lake Village Operations LLC
57 residents
Other disclo…
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Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Lake Village Operations LLC in FEC filings. Similar names may appear—confirm on FEC.gov.