CV SNF, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 7214230044 Enrollment ID O20160128000168

Linked facilitiesFacilities

StatesStates

4 parties: 2 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Beacon Health Management LLC	9830339019	Organization	Operational/Managerial Control	100
Bruce E Wertheim	1254242340	Individual	5% or Greater Indirect Ownership Interest; Operational/Managerial Control	100
Kimberly Michelle Wilcox	6507102571	Individual	W-2 Managing Employee	—
Pww Healthcare, LLC	3072837590	Organization	5% or Greater Direct Ownership Interest	100

Beacon Health Management LLCPAC 9830339019
Organization100Operational/Managerial Control
Bruce E WertheimPAC 1254242340
Individual1005% or Greater Indirect Ownership Interest; Operational/Managerial Control
Kimberly Michelle WilcoxPAC 6507102571
IndividualW-2 Managing Employee
Pww Healthcare, LLCPAC 3072837590
Organization1005% or Greater Direct Ownership Interest

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Crossview Care Center CV SNF, LLC 66 residents		Other disclo…	2.86	Ovr★★★☆☆Stf★★☆☆☆Ins★★★☆☆QM★★☆☆☆	66

Crossview Care Center
CV SNF, LLC
Other disclosed role66 res2.86 HPRD
Overall 3Staffing Staff 2

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
01/01/2016	Crossview Care Center	CV SNF, LLC	Pineview 102 LLC	Buyer

Related CMS associates

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