Haven of Lakeside LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 3971822362 Enrollment ID O20150506002578

Details

Linked facilitiesFacilities
1
StatesStates
1

17 parties: 5 organizations · 12 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Stephen Samuelian3375453392Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF36.73
Spencer R Samuelian5890930770Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF25.21
Robert Samuelian4284544206Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF20.13
Brett P Robertson9234273772Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF7.61
Christian R West0345485223Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF6.4
Jason J Seastrand8426373853IndividualOperational/Managerial Control; ADP of the SNF; Direct Ownership Interest3.92
Stephanie Espinosa6103354022IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF0
Lindsay Fragoso8820526742IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF0
Clark Globalmed, LLC5395273205OrganizationOperational/Managerial Control; ADP of the SNF
Health Group Management LLC9931637840OrganizationOperational/Managerial Control; ADP of the SNF
Stock Longhurst9830627751IndividualOperational/Managerial Control; ADP of the SNF
Caleb Hansen2567991912IndividualOperational/Managerial Control; ADP of the SNF
Ryan Fair3476082827IndividualOperational/Managerial Control; ADP of the SNF
Randolph Clark7517916463IndividualOperational/Managerial Control; ADP of the SNF
Haven Health Group LLC9638314511Organization5% or Greater Direct Ownership Interest100
Haven Health Properties LLC0648709675Organization5% or Greater Mortgage Interest; ADP of the SNF100
Haven Lakeside Real Estate LLC0749719193Organization5% or Greater Mortgage Interest; ADP of the SNF100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Haven of Lakeside
Haven of Lakeside LLC
97 residents
Other disclo…
3.42Ovr☆☆☆☆Stf★★★☆☆Ins☆☆☆☆QM☆☆☆☆97
  • Haven of Lakeside LLC
    Other disclosed role97 res3.42 HPRD
    Overall 1Staffing Staff 3
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Haven of Lakeside LLC in FEC filings. Similar names may appear—confirm on FEC.gov.