Haven of Bridgeport LLC

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 5294257580 Enrollment ID O20250317000463

Facilities by state

  • IL1

Details

Linked facilitiesFacilities
1

17 parties: 9 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Ecapital Healthcare Corp2567904220Organization5% or Greater Security Interest; Operational/Managerial Control100
David Glat3476957069Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Managing Control - Governing Body40
Gary D Carr4284547969IndividualOperational/Managerial Control; ADP of the SNF
John A Flick9133314719IndividualOperational/Managerial Control; ADP of the SNF
Lori Haynes2860623519IndividualOperational/Managerial Control; ADP of the SNF
Haven Healthcare Holdings LLC1355866633Organization5% or Greater Direct Ownership Interest; 5% or Greater Indirect Ownership Interest99.99, 0.01
Nathan and Shirley Rothner Family Trust6608784780Organization5% or Greater Indirect Ownership Interest40
Levi Israel9335526474Individual5% or Greater Indirect Ownership Interest; ADP of the SNF20
Unknown party8527584465OrganizationDirect Ownership Interest0.01
Haven Healthcare LLC5395261523OrganizationADP of the SNF
Unknown party1355867201OrganizationADP of the SNF
Unknown party4880105956IndividualADP of the SNF
Unknown party6406372366OrganizationADP of the SNF
Unknown party7911424791OrganizationADP of the SNF
Unknown party5991221152OrganizationADP of the SNF
Harold Katz7214357920IndividualTrustee of the SNF
William Rothner2961500392IndividualTrustee of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
The Haven of Bridgeport
Haven of Bridgeport LLC
72 residents
Other disclo…
2.59Ovr★★☆☆☆Stf☆☆☆☆Ins★★★☆☆QM★★☆☆☆72
  • Haven of Bridgeport LLC
    Other disclosed role72 res2.59 HPRD
    Overall 2Staffing Staff 1

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
03/01/2025The Haven of BridgeportHaven of Bridgeport LLCAperion Care Bridgeport, LLCBuyer
  1. 03/01/2025
    Aperion Care Bridgeport, LLCHaven of Bridgeport LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Haven of Bridgeport LLC in FEC filings. Similar names may appear—confirm on FEC.gov.