Ltc of Rogers, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 5698028199 Enrollment ID O20181031000636

Linked facilitiesFacilities

StatesStates

4 parties: 1 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Ltc Management Services LLC	6901967710	Organization	Operational/Managerial Control	100
Timothy O Drake	3971775743	Individual	Contracted Managing Employee; Corporate Officer	100
James C Lincoln	7315856572	Individual	5% or Greater Direct Ownership Interest	50
Judy L Lincoln	9537141445	Individual	5% or Greater Direct Ownership Interest	50

Ltc Management Services LLCPAC 6901967710
Organization100Operational/Managerial Control
Timothy O DrakePAC 3971775743
Individual100Contracted Managing Employee; Corporate Officer
James C LincolnPAC 7315856572
Individual505% or Greater Direct Ownership Interest
Judy L LincolnPAC 9537141445
Individual505% or Greater Direct Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Ashley Rehabilitation and Health Care Center Ltc of Rogers, LLC 53 residents		Other disclo…	3.79	—	53

Ashley Rehabilitation and Health Care Center
Ltc of Rogers, LLC
Other disclosed role53 res3.79 HPRD

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
06/01/2018	Ashley Rehabilitation and Health Care Center	Ltc of Rogers, LLC	Ashley Health LLC	Buyer

06/01/2018
Ashley Rehabilitation and Health Care Center (Buyer)
Ashley Health LLC → Ltc of Rogers, LLC

Related CMS associates

Name match to Ltc of Rogers, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.