340 Desoto Avenue Ext Operations, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 5597143867 Enrollment ID O20220530000105

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 8 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Kathy Conrad5991714800IndividualOperational/Managerial Control; ADP of the SNF
SNF Mgr LLC4688186810OrganizationOperational/Managerial Control; ADP of the SNF
Ashley Winkle0547781726IndividualOperational/Managerial Control; ADP of the SNF
Irene S Buckner9638146798IndividualOperational/Managerial Control; ADP of the SNF
John Thomas6305835430IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Tiffany Hoback7315391984IndividualManaging Control - Governing Body; ADP of the SNF
Fglfc Holdco, LLC1254728520OrganizationDirect Ownership Interest100
Fc Investors XXI LLC3870752850OrganizationIndirect Ownership Interest100
Lavie Holdco LLC9638569452OrganizationIndirect Ownership Interest100
LV Investment LLC0143489120OrganizationIndirect Ownership Interest100
Nspr Care Centers, LLC6800147463OrganizationIndirect Ownership Interest100
Nspr Operations I, LLC7618228271OrganizationIndirect Ownership Interest100
Nspr Operations II, LLC0345591905OrganizationIndirect Ownership Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Greenbough Health and Rehabilitation Center
340 Desoto Avenue Ext Operations, LLC
55 residents
Other disclo…
3.58Ovr★★☆☆☆Stf★★★☆☆Ins★★☆☆☆QM★★☆☆☆55

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
04/01/2022Greenbough Health and Rehabilitation Center340 Desoto Avenue Ext Operations, LLCMs Greenbough LLCBuyer
  1. 04/01/2022
    Ms Greenbough LLC340 Desoto Avenue Ext Operations, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to 340 Desoto Avenue Ext Operations, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.