Cypress at Lake Providence, LLC

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 8820489784 Enrollment ID O20220103001788

Facilities by state

  • LA1

Details

Linked facilitiesFacilities
1

18 parties: 6 organizations · 12 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Eliezer Schwartz9931495413Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control47.5
Stacy Clasby8224271770IndividualOperational/Managerial Control; ADP of the SNF
Volare Health LLC7618342478OrganizationOperational/Managerial Control; ADP of the SNF
Kay Kovac8123168515IndividualOperational/Managerial Control; ADP of the SNF
La Chc Holdings, LLC1355732215Organization5% or Greater Direct Ownership Interest; ADP of the SNF100
Cypress at US65, LLC7618368572Organization5% or Greater Indirect Ownership Interest; ADP of the SNF100
Chaim Hagar6800143801Individual5% or Greater Indirect Ownership Interest; ADP of the SNF47.5
Donald Knox8729459474IndividualCorporate Officer; ADP of the SNF100
LP Land Holdings LLC9133644073Organization5% or Greater Mortgage Interest; ADP of the SNF100
Unknown party9032634977OrganizationADP of the SNF
Unknown party4284159138IndividualADP of the SNF
Unknown party8729503677IndividualADP of the SNF
Unknown party6002331956IndividualADP of the SNF
Unknown party0648795591IndividualADP of the SNF
Unknown party2466977319IndividualADP of the SNF
Unknown party0547785495IndividualADP of the SNF
Unknown party3274058128IndividualADP of the SNF
Unknown party5698290534OrganizationADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Cypress at Lake Providence
Cypress at Lake Providence, LLC
68 residents
Other disclo…
2.59Ovr☆☆☆☆Stf☆☆☆☆Ins☆☆☆☆QM☆☆☆☆68
  • Cypress at Lake Providence, LLC
    Other disclosed role68 res2.59 HPRD
    Overall 1Staffing Staff 1

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
12/01/2021Cypress at Lake ProvidenceCypress at Lake Providence, LLCShady Lake Nursing Home LLCBuyer
  1. 12/01/2021
    Shady Lake Nursing Home LLCCypress at Lake Providence, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Cypress at Lake Providence, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.