Ccla 6 LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 4183931652 Enrollment ID O20150916000083

Linked facilitiesFacilities

StatesStates

5 parties: 1 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Drsn Associates LLC	3971810441	Organization	5% or Greater Direct Ownership Interest; 5% or Greater Mortgage Interest; Operational/Managerial Control	100, 74.71
Heather Montpas	8224345798	Individual	W-2 Managing Employee	—
Antonio Simbeni	0547643215	Individual	Corporate Officer	0
Timothy Kamego	4486836251	Individual	Corporate Officer; Corporate Director	—
Richard Levin	9931381704	Individual	Corporate Director	100

Drsn Associates LLCPAC 3971810441
Organization100, 74.715% or Greater Direct Ownership Interest; 5% or Greater Mortgage Interest
Heather MontpasPAC 8224345798
IndividualW-2 Managing Employee
Antonio SimbeniPAC 0547643215
Individual0Corporate Officer
Timothy KamegoPAC 4486836251
IndividualCorporate Officer; Corporate Director
Richard LevinPAC 9931381704
Individual100Corporate Director

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
The Rivers Health & Rehabilitation Center of Gross Ccla 6 LLC 80 residents		Other disclo…	4.08	Ovr★★★★☆Stf★★★☆☆Ins★★★★☆QM★★★☆☆	80

The Rivers Health & Rehabilitation Center of Gross
Ccla 6 LLC
Other disclosed role80 res4.08 HPRD
Overall 4Staffing Staff 3

Related CMS associates

Name match to Ccla 6 LLC in FEC filings. Similar names may appear—confirm on FEC.gov.