Leslie Lakes Care Center, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9830092758 Enrollment ID O20040129000042

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 5 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Angela Smith7517368582IndividualOperational/Managerial Control; ADP of the SNF
David Colvin5496855793IndividualOperational/Managerial Control; ADP of the SNF
Pkc Investments, LLC7315008067OrganizationADP of the SNF; Direct Ownership Interest73
Dawne R Smith7315008075IndividualCorporate Officer; ADP of the SNF; Indirect Ownership Interest100
Kelly Coburn5799196473IndividualADP of the SNF; Indirect Ownership Interest50
Paul B Coburn7517870165IndividualADP of the SNF; Indirect Ownership Interest50
Leslie Lakes Property, LLC0345728531Organization5% or Greater Mortgage Interest; ADP of the SNF100
Stephen Duck, Cpa Pc1153848296OrganizationADP of the SNF
DCZ1 Ventures LLC4284862293OrganizationADP of the SNF
Paramount Healthcare Consultants, LLC4183788615OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Leslie Lakes Retirement Center
Leslie Lakes Care Center, LLC
90 residents
Other disclo…
3.20Ovr★★★★Stf★★☆☆☆Ins★★★★QM★★★☆☆90
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Leslie Lakes Care Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.