Crestpark Forrest City, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 8820144249 Enrollment ID O20090925000317

Linked facilitiesFacilities

StatesStates

6 parties: 2 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Barbara Belew	6305992884	Individual	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Indirect Ownership Interest	50
Belew, LLC	6406902980	Organization	5% or Greater Direct Ownership Interest; Operational/Managerial Control; Direct Ownership Interest	50
Dilks, LLC	2961558440	Organization	5% or Greater Direct Ownership Interest; Operational/Managerial Control; Direct Ownership Interest	50
Melisha Dilks	9032265517	Individual	5% or Greater Indirect Ownership Interest; Indirect Ownership Interest	50
Unknown party	3274047808	Individual	ADP of the SNF; Indirect Ownership Interest	0
Unknown party	4183138712	Individual	ADP of the SNF; Indirect Ownership Interest	0

Barbara BelewPAC 6305992884
Individual505% or Greater Indirect Ownership Interest; Operational/Managerial Control
Belew, LLCPAC 6406902980
Organization505% or Greater Direct Ownership Interest; Operational/Managerial Control
Dilks, LLCPAC 2961558440
Organization505% or Greater Direct Ownership Interest; Operational/Managerial Control
Melisha DilksPAC 9032265517
Individual505% or Greater Indirect Ownership Interest; Indirect Ownership Interest
Unknown partyPAC 3274047808
Individual0ADP of the SNF; Indirect Ownership Interest
Unknown partyPAC 4183138712
Individual0ADP of the SNF; Indirect Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Crestpark Forrest City, LLC 40 residents		Other disclo…	4.03	Ovr★★★☆☆Stf★★★★☆Ins★★★☆☆QM★★★☆☆	40

Crestpark Forrest City, LLC
Other disclosed role40 res4.03 HPRD
Overall 3Staffing Staff 4

Related CMS associates

Name match to Crestpark Forrest City, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.