PBJ320 Ownership

Lighthouse Clover, LLC

Provider / enrollment organizationNew Jersey
Enrollment PAC6608285929Enrollment IDO20210517001446

By state

State#
NJ1
Total1

Details

Enrollment entity. CMS facility enrollment PAC with linked owners, facilities, and any ownership transactions in CMS data.
Total Facilities
1
Overall rating
5.0
Total nurse HPRD
4.27

4 parties: 0 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Dov Lebovic3577972892Individual5% or Greater Direct Ownership Interest; 5% or Greater Mortgage Interest; General Partnership Interest19
Usher Egert3476707639Individual5% or Greater Direct Ownership Interest50
Nathaniel Katz1759790074Individual5% or Greater Direct Ownership Interest25
Joseph Smotkin2860440435IndividualADP of the SNF

Lighthouse Clover, LLC Portfolio

Facility Location % Own. HPRD Ratings Census Flags
Clover Rest Home
Lighthouse Clover, LLC
30 residents
Other disclo…
4.27Ovr★★★★★Stf★★☆☆☆Ins★★★★★QM★★★☆☆30
  • Lighthouse Clover, LLC
    Other disclosed role30 res4.27 HPRD
    Ovr 5Stf 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
10/01/2020Clover Rest HomeLighthouse Clover, LLCTag Senior Care LLCBuyer
  1. 10/01/2020
    Tag Senior Care LLCLighthouse Clover, LLC
Associated Owners · 1
Show associated owners
NameSharedLink
Tag Senior Care LLC1 CHOW

FEC political contributions FEC contributions Beta

Name match to Lighthouse Clover, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.