Hidden Lake Health Care Center, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 3870080211 Enrollment ID O20251017001983

Details

Linked facilitiesFacilities
1
StatesStates
1

11 parties: 7 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Richard J Destefane1951309095IndividualOperational/Managerial Control; Indirect Ownership Interest100
Harold Lutz0749338606IndividualOperational/Managerial Control; ADP of the SNF
Abdullah Arshad6204928328IndividualOperational/Managerial Control; ADP of the SNF
Reliant Care Management Company LLC5092951160OrganizationOperational/Managerial Control; ADP of the SNF
Reliant Care Group LLC4688749625OrganizationDirect Ownership Interest100
Richard J. Destefane Revocable Living Trust1658762539OrganizationIndirect Ownership Interest100
Rcg Inc1557792165OrganizationIndirect Ownership Interest0.01
Hl Property, LLC6305333758OrganizationADP of the SNF
Unknown party7113414566OrganizationADP of the SNF
Unknown party9739676180IndividualADP of the SNF
Unknown party9931696382OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Hidden Lake Health Care Center
Hidden Lake Health Care Center, LLC
50 residents
Other disclo…
2.52Ovr☆☆☆☆Stf☆☆☆☆Ins☆☆☆☆QM★★☆☆☆50
  • Hidden Lake Health Care Center, LLC
    Other disclosed role50 res2.52 HPRD
    Overall 1Staffing Staff 1

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
08/01/2025Hidden Lake Health Care CenterHidden Lake Health Care Center, LLCEstates of Hidden Lake LLCBuyer
  1. 08/01/2025
    Estates of Hidden Lake LLCHidden Lake Health Care Center, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Hidden Lake Health Care Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.