Island Creek Holdings LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4082045034 Enrollment ID O20200507002601

Details

Linked facilitiesFacilities
1
StatesStates
1

21 parties: 5 organizations · 16 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Links Healthcare Group LLC7315211729Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Curtis Rodriguez9931335643Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control46.6
Toby Tilford1355347980Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control46.6
Antonette D Frojelin4880503630IndividualOperational/Managerial Control; ADP of the SNF
Chad Anderson2466885264IndividualOperational/Managerial Control; ADP of the SNF
Isabel Poderoso4385151059IndividualOperational/Managerial Control; ADP of the SNF
Karamjit Kaur3476060146IndividualOperational/Managerial Control; ADP of the SNF
Links Support Services, LLC5496268989OrganizationOperational/Managerial Control; ADP of the SNF
Mary Beardsley1052314739IndividualOperational/Managerial Control; ADP of the SNF
Melissa Carter7012420516IndividualOperational/Managerial Control; ADP of the SNF
Myrna A Deguzman5799694543IndividualOperational/Managerial Control; ADP of the SNF
Narendra Malani6305034919IndividualOperational/Managerial Control; ADP of the SNF
Sharon Ramirez9830606516IndividualOperational/Managerial Control; ADP of the SNF
Victoria Bernholz6103339692IndividualOperational/Managerial Control; ADP of the SNF
Scott Clawson4385644368Individual5% or Greater Indirect Ownership Interest4
Jack Sanofsky8628205333Individual5% or Greater Indirect Ownership Interest2
Steven Earl5395741938Individual5% or Greater Indirect Ownership Interest0.8
Freanel & Sons Som LLC3678080348Organization5% or Greater Security Interest; ADP of the SNF100
Eide Bailly LLP7618885013OrganizationADP of the SNF
Ellen R Subia7810997707IndividualADP of the SNF
Forbright Bank7113238049Organization5% or Greater Security Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Avondale Villa POST-ACUTE
Island Creek Holdings LLC
34 residents
Other disclo…
4.32Ovr★★★★Stf★★★☆☆Ins★★★☆☆QM★★★★★34
  • Island Creek Holdings LLC
    Other disclosed role34 res4.32 HPRD
    Overall 4Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
03/01/2020Avondale Villa POST-ACUTEIsland Creek Holdings LLCSilver Oak Health Services, IncBuyer
  1. 03/01/2020
    Silver Oak Health Services, IncIsland Creek Holdings LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Island Creek Holdings LLC in FEC filings. Similar names may appear—confirm on FEC.gov.