Long Grove Pac LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4587896436 Enrollment ID O20140409000003

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 6 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Menachem Shabat3072526219IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF50
Lake Forest Bank & Trust Company, N.a.6507127354Organization5% or Greater Security Interest; Operational/Managerial Control
Emily Burau6800373374IndividualOperational/Managerial Control; ADP of the SNF
Legacy Healthcare Financial Services LLC5799046132OrganizationOperational/Managerial Control; ADP of the SNF
Nicholas S Papanos2961427703IndividualOperational/Managerial Control; ADP of the SNF
Doros Generation Trust U/A/D 1/3/126901110428Organization5% or Greater Direct Ownership Interest; ADP of the SNF50
Gpn Family Trust U/A/D 4/28/085294988994Organization5% or Greater Direct Ownership Interest; ADP of the SNF50
Buffalo Property Holdings, LLC3173000643Organization5% or Greater Security Interest; ADP of the SNF100
Rsm Us LLP6305077611OrganizationADP of the SNF
Unknown party6608353172IndividualADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Avantara Long Grove
Long Grove Pac LLC
177 residents
Other disclo…
3.11Ovr★★★★Stf★★☆☆☆Ins★★★★QM★★★★177
  • Long Grove Pac LLC
    Other disclosed role177 res3.11 HPRD
    Overall 4Staffing Staff 2
Related CMS associates

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Name match to Long Grove Pac LLC in FEC filings. Similar names may appear—confirm on FEC.gov.