Lakewood Villa Operations, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8224276290 Enrollment ID O20130919000611

Details

Linked facilitiesFacilities
1
StatesStates
1

12 parties: 6 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Covey C Christensen0345158556Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF82.5
Michael Joseph Clegg9638185457Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Managing Control - Governing Body17.5
Kendra James5890287858IndividualOperational/Managerial Control; ADP of the SNF
John P. Ikerd3476038464IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Amber M Hopkins6002277480IndividualOperational/Managerial Control; ADP of the SNF
Robert Howe9234268517IndividualOperational/Managerial Control; ADP of the SNF
Madison Creek Partners LLC2163745357OrganizationOperational/Managerial Control; ADP of the SNF
Tippet, LLC9931684925Organization5% or Greater Indirect Ownership Interest82.5
White Canyon, LLC1759866742Organization5% or Greater Indirect Ownership Interest17.5
Unknown party0345732301OrganizationADP of the SNF
Unknown party1254823214OrganizationADP of the SNF
Unknown party3375012826OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Lakewood Villa
Lakewood Villa Operations, LLC
54 residents
Other disclo…
3.10Ovr★★★☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★★★54
  • Lakewood Villa Operations, LLC
    Other disclosed role54 res3.10 HPRD
    Overall 3Staffing Staff 3
Related CMS associates

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Name match to Lakewood Villa Operations, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.