Crossett Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4981078326 Enrollment ID O20230324002624

Details

Linked facilitiesFacilities
1
StatesStates
1

17 parties: 10 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
David Jakobowitch6901221209Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control33.33, 33
Steven Isaac2163731647Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control11, 22
Emerald Burris7911335260IndividualOperational/Managerial Control; ADP of the SNF
Crossett Realty Holdings LLC2365976404OrganizationOperational/Managerial Control; ADP of the SNF
Independence Arkansas Hcm LLC1850828062OrganizationOperational/Managerial Control; ADP of the SNF
Riki Portnoy6800320953IndividualOperational/Managerial Control; ADP of the SNF
Signet Healthcare Consultants LLC8123370186OrganizationOperational/Managerial Control; ADP of the SNF
Tim M Simon9537194980IndividualOperational/Managerial Control; ADP of the SNF
Cutlass Op Holdings LLC0749653830Organization5% or Greater Direct Ownership Interest45
Ardj LLC1658744743Organization5% or Greater Direct Ownership Interest33.33
Sri Nightingale LLC8224433412Organization5% or Greater Direct Ownership Interest; Direct Ownership Interest22
Dov B Braun4284039470Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Trustee of the SNF22.5, 45
Aviva Braun8123551892Individual5% or Greater Indirect Ownership Interest; Trustee of the SNF22.5
Cutlass Op Family Trust I9032568613Organization5% or Greater Indirect Ownership Interest22.5
Cutlass Op Family Trust II5496104077Organization5% or Greater Indirect Ownership Interest22.5
Sri Family Irrevocable Trust0840649422Organization5% or Greater Indirect Ownership Interest; Trustee of the SNF11
Cutlass Op Holdings LLC6709259054OrganizationDirect Ownership Interest45

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Nightingale at Crossett
Crossett Healthcare LLC
56 residents
Other disclo…
3.59Ovr★★★☆☆Stf★★★☆☆Ins★★★★QM☆☆☆☆56
  • Crossett Healthcare LLC
    Other disclosed role56 res3.59 HPRD
    Overall 3Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
08/31/2022Nightingale at CrossettCrossett Healthcare LLCSomerset Senior Living at Crossett, Inc.Buyer
  1. 08/31/2022
    Somerset Senior Living at Crossett, Inc.Crossett Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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