PBJ320
Ownership
Ccrc - Lake Port Square LLC
Enrollment entity. CMS facility enrollment PAC with linked owners, facilities, and any ownership transactions in CMS data.
Total Facilities
1
Overall rating
3.0
Total nurse HPRD
4.42
12 parties: 6 organizations · 6 individuals
Owners & control parties
| Name | Owner/control PAC | Type | Role(s) | % |
|---|---|---|---|---|
| Life Care Services LLC | 3577472711 | Organization | Operational/Managerial Control; ADP of the SNF | 0 |
| Andres Vallejo Agudelo | 2062769342 | Individual | Operational/Managerial Control; ADP of the SNF | — |
| Tristan S Mohadeo | 3678635893 | Individual | Operational/Managerial Control; Managing Control - Governing Body; ADP of the SNF | — |
| Markus Buettner | 8527587393 | Individual | Operational/Managerial Control | — |
| Axel Martinez Irizarry | 6103971353 | Individual | Operational/Managerial Control; ADP of the SNF | — |
| Frank Russo | 0042602955 | Individual | Managing Control - Governing Body | — |
| Patrick Michael Cheng | 1951793868 | Individual | Managing Control - Governing Body | — |
| Healthpeak Op LLC | 4385017839 | Organization | 5% or Greater Indirect Ownership Interest | 100 |
| Hcp S-H 2014 Member LLC | 2567683683 | Organization | 5% or Greater Indirect Ownership Interest | 100 |
| Healthpeak Properties Inc | 6406758242 | Organization | 5% or Greater Indirect Ownership Interest | 100 |
| S-H 2014 Opco Trs Inc | 6002035920 | Organization | 5% or Greater Indirect Ownership Interest | 100 |
| Ccrc Opco Ventures, LLC | 8820210503 | Organization | 5% or Greater Direct Ownership Interest | 100 |
- Organization0Operational/Managerial Control; ADP of the SNF
- IndividualOperational/Managerial Control; ADP of the SNF
- IndividualOperational/Managerial Control; Managing Control - Governing Body
- IndividualOperational/Managerial Control
- IndividualOperational/Managerial Control; ADP of the SNF
- IndividualManaging Control - Governing Body
- IndividualManaging Control - Governing Body
- Organization1005% or Greater Indirect Ownership Interest
- Organization1005% or Greater Indirect Ownership Interest
- Organization1005% or Greater Indirect Ownership Interest
- Organization1005% or Greater Indirect Ownership Interest
- Organization1005% or Greater Direct Ownership Interest
Ccrc - Lake Port Square LLC Portfolio
| Facility | Location | % Own. | HPRD | Ratings | Census | Flags |
|---|---|---|---|---|---|---|
Lake Port Square Health Center Ccrc - Lake Port Square LLC | Other disclo… | 4.41 | 64 |
FEC political contributions FEC contributions Beta
Name match to Ccrc - Lake Port Square LLC in FEC filings. Similar names may appear—confirm on FEC.gov.