Lighthouse Clover, LLC

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 6608285929 Enrollment ID O20210517001446

Details

Linked facilitiesFacilities
1
StatesStates
1

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

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Clover Rest Home
Lighthouse Clover, LLC
31 residents
Other disclo…
4.42Ovr★★★★★Stf★★★☆☆Ins★★★★★QM★★★☆☆31
  • Lighthouse Clover, LLC
    Other disclosed role31 res4.42 HPRD
    Overall 5Staffing Staff 3

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
Related CMS associates

FEC political contributions FEC contributions Beta

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