Ccrc of Lees Summit LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4082138540 Enrollment ID O20250407002276

Details

Linked facilitiesFacilities
1
StatesStates
1

64 parties: 46 organizations · 18 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Scenic Development LLC7810162518Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; Direct Ownership Interest24.18
Gilbert R Wood6800704438IndividualCorporate Officer; Operational/Managerial Control; Indirect Ownership Interest2.45
Jordan R Anderson7618358771IndividualCorporate Officer; Operational/Managerial Control; Indirect Ownership Interest1.98
Travis S Gulledge6901338334IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest0.98
Cody Hughes7810382215IndividualOperational/Managerial Control; ADP of the SNF
Jessica N Lee2668698200IndividualOperational/Managerial Control; ADP of the SNF
Pivotal Health Care LLC3375718075OrganizationOperational/Managerial Control; ADP of the SNF
Scenic Holdings LLC4082951249Organization5% or Greater Direct Ownership Interest; Direct Ownership Interest8.92
Poky - 5R LLC6002081700Organization5% or Greater Direct Ownership Interest; Direct Ownership Interest7.5
Wsg LLC5991972002Organization5% or Greater Indirect Ownership Interest; Indirect Ownership Interest18.14
Steven M Howard0648351148Individual5% or Greater Indirect Ownership Interest; Indirect Ownership Interest8.08
Cadet Investment LLC4284809989Organization5% or Greater Indirect Ownership Interest; Indirect Ownership Interest6.66
Unknown party8022532316OrganizationDirect Ownership Interest3.67
Unknown party2668996950OrganizationDirect Ownership Interest; Indirect Ownership Interest2.24, 0.03
Unknown party1759850688OrganizationDirect Ownership Interest2.1
Unknown party0648794933OrganizationDirect Ownership Interest2.1
Unknown party1951825256IndividualDirect Ownership Interest2.1
Unknown party3476077769OrganizationDirect Ownership Interest2.1
Unknown party5395269682OrganizationDirect Ownership Interest2.1
Unknown party9830613124OrganizationDirect Ownership Interest2.1
Unknown party1557885845OrganizationDirect Ownership Interest1.57
Unknown party2466976766OrganizationDirect Ownership Interest1.57
Unknown party4688198989IndividualDirect Ownership Interest1.57
Unknown party4284103128IndividualDirect Ownership Interest1.13
Unknown party5395214225OrganizationDirect Ownership Interest1.05
Show all 64 parties (39 more)
NameOwner/control PACTypeRole(s)%
Scenic Development LLC7810162518Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; Direct Ownership Interest24.18
Gilbert R Wood6800704438IndividualCorporate Officer; Operational/Managerial Control; Indirect Ownership Interest2.45
Jordan R Anderson7618358771IndividualCorporate Officer; Operational/Managerial Control; Indirect Ownership Interest1.98
Travis S Gulledge6901338334IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest0.98
Cody Hughes7810382215IndividualOperational/Managerial Control; ADP of the SNF
Jessica N Lee2668698200IndividualOperational/Managerial Control; ADP of the SNF
Pivotal Health Care LLC3375718075OrganizationOperational/Managerial Control; ADP of the SNF
Scenic Holdings LLC4082951249Organization5% or Greater Direct Ownership Interest; Direct Ownership Interest8.92
Poky - 5R LLC6002081700Organization5% or Greater Direct Ownership Interest; Direct Ownership Interest7.5
Wsg LLC5991972002Organization5% or Greater Indirect Ownership Interest; Indirect Ownership Interest18.14
Steven M Howard0648351148Individual5% or Greater Indirect Ownership Interest; Indirect Ownership Interest8.08
Cadet Investment LLC4284809989Organization5% or Greater Indirect Ownership Interest; Indirect Ownership Interest6.66
Unknown party8022532316OrganizationDirect Ownership Interest3.67
Unknown party2668996950OrganizationDirect Ownership Interest; Indirect Ownership Interest2.24, 0.03
Unknown party1759850688OrganizationDirect Ownership Interest2.1
Unknown party0648794933OrganizationDirect Ownership Interest2.1
Unknown party1951825256IndividualDirect Ownership Interest2.1
Unknown party3476077769OrganizationDirect Ownership Interest2.1
Unknown party5395269682OrganizationDirect Ownership Interest2.1
Unknown party9830613124OrganizationDirect Ownership Interest2.1
Unknown party1557885845OrganizationDirect Ownership Interest1.57
Unknown party2466976766OrganizationDirect Ownership Interest1.57
Unknown party4688198989IndividualDirect Ownership Interest1.57
Unknown party4284103128IndividualDirect Ownership Interest1.13
Unknown party5395214225OrganizationDirect Ownership Interest1.05
Unknown party4385113216OrganizationDirect Ownership Interest1.05
Unknown party0446774731OrganizationDirect Ownership Interest1.05
Unknown party0547784837OrganizationDirect Ownership Interest1.05
Unknown party1951825249OrganizationDirect Ownership Interest1.05
Unknown party1951825264IndividualDirect Ownership Interest1.05
Unknown party2163946468OrganizationDirect Ownership Interest1.05
Unknown party2264956564OrganizationDirect Ownership Interest1.05
Unknown party2466976758OrganizationDirect Ownership Interest1.05
Unknown party2769906064OrganizationDirect Ownership Interest1.05
Unknown party2860916152OrganizationDirect Ownership Interest1.05
Unknown party2860916178IndividualDirect Ownership Interest1.05
Unknown party3072037373OrganizationDirect Ownership Interest1.05
Unknown party3577032408OrganizationDirect Ownership Interest1.05
Unknown party3678097961OrganizationDirect Ownership Interest1.05
Unknown party3678097979OrganizationDirect Ownership Interest1.05
Unknown party3779007067OrganizationDirect Ownership Interest1.05
Unknown party3779007083IndividualDirect Ownership Interest1.05
Unknown party4688198997IndividualDirect Ownership Interest1.05
Unknown party4981128287OrganizationDirect Ownership Interest1.05
Unknown party5193249498OrganizationDirect Ownership Interest1.05
Unknown party5597289892IndividualDirect Ownership Interest1.05
Unknown party5890219190OrganizationDirect Ownership Interest1.05
Unknown party5991229296OrganizationDirect Ownership Interest1.05
Unknown party6305360694OrganizationDirect Ownership Interest1.05
Unknown party6406370709IndividualDirect Ownership Interest1.05
Unknown party6406370717IndividualDirect Ownership Interest1.05
Unknown party8426572728OrganizationDirect Ownership Interest1.05
Unknown party9133643448IndividualDirect Ownership Interest1.05
Unknown party9638693922OrganizationDirect Ownership Interest1.05
Unknown party9638693930OrganizationDirect Ownership Interest1.05
Unknown party0244754547OrganizationDirect Ownership Interest0.52
Unknown party0941724256IndividualDirect Ownership Interest0.52
Unknown party1153845458OrganizationDirect Ownership Interest0.52
Unknown party9335663632OrganizationDirect Ownership Interest0.52
Unknown party6204305139OrganizationDirect Ownership Interest0.34
Unknown party6507380805OrganizationADP of the SNF
Unknown party2961926266OrganizationADP of the SNF
Unknown party3870017171OrganizationADP of the SNF
Unknown party4789108085OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Raintree Village
Ccrc of Lees Summit LLC
32 residents
Other disclo…
4.9232
  • Ccrc of Lees Summit LLC
    Other disclosed role32 res4.92 HPRD
Related CMS associates

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Name match to Ccrc of Lees Summit LLC in FEC filings. Similar names may appear—confirm on FEC.gov.