Ccw La Jolla, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8628102126 Enrollment ID O20100819000721

Details

Linked facilitiesFacilities
1
StatesStates
1

21 parties: 6 organizations · 15 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Kelly White9335622786IndividualOperational/Managerial Control; ADP of the SNF
Amy Patterson1153795141IndividualOperational/Managerial Control; ADP of the SNF
Bridget Williams4981077294IndividualOperational/Managerial Control; ADP of the SNF
Gary Smith8022088681IndividualOperational/Managerial Control; ADP of the SNF
Thomas J Muszynski2466734314IndividualOperational/Managerial Control; ADP of the SNF
Melissa G Evraets7113279084IndividualOperational/Managerial Control; ADP of the SNF
Cary Maslow0941213151IndividualOperational/Managerial Control; ADP of the SNF
Taib Rawi6901071802IndividualOperational/Managerial Control; ADP of the SNF
Tomek Koszylko4587162730IndividualOperational/Managerial Control; ADP of the SNF
Ellen M. Blys9234457177IndividualOperational/Managerial Control; ADP of the SNF
Stephanie Boudreau7719079615IndividualOperational/Managerial Control; ADP of the SNF
Classic Residence Management Limited Partnership8123098779OrganizationOperational/Managerial Control; ADP of the SNF
CC La Jolla LLC6103079975Organization5% or Greater Direct Ownership Interest100
CC Development Group II LLC0749752715Organization5% or Greater Indirect Ownership Interest100
CC Living Holding Company LLC1355813387Organization5% or Greater Indirect Ownership Interest100
Tara Cope4688858756IndividualCorporate Officer; ADP of the SNF0
Unknown party0446733893OrganizationADP of the SNF
Unknown party4183107535OrganizationADP of the SNF
Unknown party1052894409IndividualADP of the SNF
Unknown party9234612680IndividualADP of the SNF
Unknown party0244713691IndividualADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
VI at La Jolla Village
Ccw La Jolla, LLC
56 residents
Other disclo…
5.24Ovr★★★★★Stf★★★★★Ins★★★★★QM★★★★★56
  • Ccw La Jolla, LLC
    Other disclosed role56 res5.24 HPRD
    Overall 5Staffing Staff 5
Related CMS associates

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Name match to Ccw La Jolla, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.