Pearl of Crystal Lake, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9739572504 Enrollment ID O20220201000179

Details

Linked facilitiesFacilities
1
StatesStates
1

4 parties: 2 organizations · 2 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Stephanie Dimitrenko5890739825IndividualW-2 Managing Employee
Eitan Zeffren6406158658Individual5% or Greater Direct Ownership Interest; Corporate Officer60
Kushner Family Idf LLC6507100344Organization5% or Greater Direct Ownership Interest20
Reg 2018 Irrevocable Trust U/A/D 1/1/188325382161Organization5% or Greater Direct Ownership Interest20

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Pearl of Crystal Lake, the
Pearl of Crystal Lake, LLC
72 residents
Other disclo…
3.79Ovr★★★★★Stf★★★★Ins★★★★QM★★★★★72
  • Pearl of Crystal Lake, LLC
    Other disclosed role72 res3.79 HPRD
    Overall 5Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
12/31/2021Pearl of Crystal Lake, thePearl of Crystal Lake, LLCSprings at Crystal Lake, LLCBuyer
  1. 12/31/2021
    Springs at Crystal Lake, LLCPearl of Crystal Lake, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Pearl of Crystal Lake, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.