Cedar Ridge Care and Rehabilitation Center LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9739410804 Enrollment ID O20191004000783

Details

Linked facilitiesFacilities
1
StatesStates
1

29 parties: 21 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Shalom Lichtman2163649047Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Managing Control - Governing Body19.94
IL M Trust4880177450OrganizationOperational/Managerial Control; Indirect Ownership Interest7.55
Light Man LLC3577925130OrganizationOperational/Managerial Control
John A Flick9133314719IndividualOperational/Managerial Control; ADP of the SNF
Kenya O'neal0840373551IndividualOperational/Managerial Control; ADP of the SNF
Capital Finance LLC8123282514Organization5% or Greater Security Interest; Operational/Managerial Control
Ltc Consulting Services LLC2961587720OrganizationOperational/Managerial Control
Crest Crjs Tbd Holdco LLC9537654595Organization5% or Greater Indirect Ownership Interest100
Ecfjc Trust2163914466Organization5% or Greater Indirect Ownership Interest20.81
Tsdama Trust6608368907Organization5% or Greater Indirect Ownership Interest20.81
Crest Crjs Holdco LLC1355836313OrganizationDirect Ownership Interest100
Mrs Windy City State Trust6709369374OrganizationIndirect Ownership Interest20.81
Unknown party2769977727IndividualIndirect Ownership Interest2.16
Unknown party8820583883IndividualIndirect Ownership Interest1.62
Unknown party1254826217OrganizationIndirect Ownership Interest1.1
Unknown party2163917139OrganizationIndirect Ownership Interest1.1
Unknown party6901391960OrganizationIndirect Ownership Interest1.1
Unknown party1850886813IndividualIndirect Ownership Interest1
Unknown party7214422278IndividualIndirect Ownership Interest1
Unknown party8022503085IndividualIndirect Ownership Interest1
Unknown party4486138757OrganizationADP of the SNF
Unknown party5890280796OrganizationADP of the SNF
Unknown party2668967555OrganizationADP of the SNF
Unknown party2769977651OrganizationADP of the SNF
Unknown party4284129164OrganizationADP of the SNF
Show all 29 parties (4 more)
NameOwner/control PACTypeRole(s)%
Shalom Lichtman2163649047Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Managing Control - Governing Body19.94
IL M Trust4880177450OrganizationOperational/Managerial Control; Indirect Ownership Interest7.55
Light Man LLC3577925130OrganizationOperational/Managerial Control
John A Flick9133314719IndividualOperational/Managerial Control; ADP of the SNF
Kenya O'neal0840373551IndividualOperational/Managerial Control; ADP of the SNF
Capital Finance LLC8123282514Organization5% or Greater Security Interest; Operational/Managerial Control
Ltc Consulting Services LLC2961587720OrganizationOperational/Managerial Control
Crest Crjs Tbd Holdco LLC9537654595Organization5% or Greater Indirect Ownership Interest100
Ecfjc Trust2163914466Organization5% or Greater Indirect Ownership Interest20.81
Tsdama Trust6608368907Organization5% or Greater Indirect Ownership Interest20.81
Crest Crjs Holdco LLC1355836313OrganizationDirect Ownership Interest100
Mrs Windy City State Trust6709369374OrganizationIndirect Ownership Interest20.81
Unknown party2769977727IndividualIndirect Ownership Interest2.16
Unknown party8820583883IndividualIndirect Ownership Interest1.62
Unknown party1254826217OrganizationIndirect Ownership Interest1.1
Unknown party2163917139OrganizationIndirect Ownership Interest1.1
Unknown party6901391960OrganizationIndirect Ownership Interest1.1
Unknown party1850886813IndividualIndirect Ownership Interest1
Unknown party7214422278IndividualIndirect Ownership Interest1
Unknown party8022503085IndividualIndirect Ownership Interest1
Unknown party4486138757OrganizationADP of the SNF
Unknown party5890280796OrganizationADP of the SNF
Unknown party2668967555OrganizationADP of the SNF
Unknown party2769977651OrganizationADP of the SNF
Unknown party4284129164OrganizationADP of the SNF
Unknown party7810482700OrganizationADP of the SNF
Unknown party9234624123OrganizationADP of the SNF
Unknown party1658866538OrganizationADP of the SNF
Unknown party9739674631OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Cedar Ridge Health & Rehab Ctr
Cedar Ridge Care and Rehabilitation Center LLC
107 residents
Other disclo…
3.12Ovr★★★☆☆Stf☆☆☆☆Ins★★★★QM★★★☆☆107
  • Cedar Ridge Care and Rehabilitation Center LLC
    Other disclosed role107 res3.12 HPRD
    Overall 3Staffing Staff 1

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
09/01/2019Cedar Ridge Health & Rehab CtrCedar Ridge Care and Rehabilitation Center LLCCovenant Care Midwest, Inc.Buyer
  1. 09/01/2019
    Covenant Care Midwest, Inc.Cedar Ridge Care and Rehabilitation Center LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Cedar Ridge Care and Rehabilitation Center LLC in FEC filings. Similar names may appear—confirm on FEC.gov.