Cleveland Healthcare, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 9234571928 Enrollment ID O20240528000225

Linked facilitiesFacilities

StatesStates

8 parties: 4 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Billie Upshaw	9133581549	Individual	W-2 Managing Employee	100
Ok SNF Holdings, LLC	4587002266	Organization	5% or Greater Direct Ownership Interest	50
Ok SNF Investments, LLC	5496193179	Organization	5% or Greater Direct Ownership Interest	50
Jfb Ok Trust	2769820448	Organization	5% or Greater Indirect Ownership Interest	50
Southeast Ventures Trust	7113365891	Organization	5% or Greater Indirect Ownership Interest	48
Naftali Friedman	5092192948	Individual	Corporate Officer	100
Allen Koss	0840638524	Individual	Other	50
Yaakov Klein	8022456706	Individual	Other	48

Billie UpshawPAC 9133581549
Individual100W-2 Managing Employee
Ok SNF Holdings, LLCPAC 4587002266
Organization505% or Greater Direct Ownership Interest
Ok SNF Investments, LLCPAC 5496193179
Organization505% or Greater Direct Ownership Interest
Jfb Ok TrustPAC 2769820448
Organization505% or Greater Indirect Ownership Interest
Southeast Ventures TrustPAC 7113365891
Organization485% or Greater Indirect Ownership Interest
Naftali FriedmanPAC 5092192948
Individual100Corporate Officer
Allen KossPAC 0840638524
Individual50Other
Yaakov KleinPAC 8022456706
Individual48Other

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Cleveland Care and Rehab Center Cleveland Healthcare, LLC 61 residents		Other disclo…	3.66	Ovr★★★★☆Stf★★☆☆☆Ins★★★★☆QM★★★☆☆	61

Cleveland Care and Rehab Center
Cleveland Healthcare, LLC
Other disclosed role61 res3.66 HPRD
Overall 4Staffing Staff 2

Related CMS associates

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