Lakewood Nursing and Rehabilitation Center, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4082524715 Enrollment ID O20080711000036

Details

Linked facilitiesFacilities
1
StatesStates
1

18 parties: 14 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Ronald Paetsch0749700516IndividualOperational/Managerial Control; ADP of the SNF
Srinivas C Kota4385606144IndividualOperational/Managerial Control; ADP of the SNF
Rothner Health Ventures G II, LLC4082856109Organization5% or Greater Direct Ownership Interest; ADP of the SNF100
Nathan and Shirley Rothner Family Trust6608784780Organization5% or Greater Indirect Ownership Interest; Trustee of the SNF45.97
William Rothner Accumulation Trust3870402688Organization5% or Greater Indirect Ownership Interest; Trustee of the SNF7.75
Adams Vales Accumulation Trust8426967233Organization5% or Greater Indirect Ownership Interest; Trustee of the SNF7.72
Daniel Rothner Accumulation Trust2062321870Organization5% or Greater Indirect Ownership Interest; Trustee of the SNF7.72
Kathryn Vales Accumulation Trust0244149052Organization5% or Greater Indirect Ownership Interest; Trustee of the SNF7.72
Kimberly Vales Accumulation Trust6507775319Organization5% or Greater Indirect Ownership Interest; Trustee of the SNF; ADP of the SNF7.72
Melissa Rothner Accumulation Trust1153230966Organization5% or Greater Indirect Ownership Interest; Trustee of the SNF7.72
Rachel Rothner Accumulation Trust4789593591Organization5% or Greater Indirect Ownership Interest; Trustee of the SNF7.72
Levi Israel9335526474IndividualCorporate Officer
David Aronin9335247766IndividualCorporate Director
Roth & Co, LLP3173053162OrganizationADP of the SNF
Kare Technologies LLC1759801517OrganizationADP of the SNF
Straight Care Staffing Nursing Agency LLC0840710604OrganizationADP of the SNF
Extended Care Clinical LLC1850820614OrganizationADP of the SNF
Extended Care Consulting LLC3870637663OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Lakewood Nrsg & Rehab Center
Lakewood Nursing and Rehabilitation Center, LLC
113 residents
Other disclo…
3.33Ovr★★★☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★★113
  • Lakewood Nursing and Rehabilitation Center, LLC
    Other disclosed role113 res3.33 HPRD
    Overall 3Staffing Staff 2
Related CMS associates

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Name match to Lakewood Nursing and Rehabilitation Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.