Clark Skilled Nursing Facility LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9830478460 Enrollment ID O20161122001219

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 7 organizations · 3 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Forbright Bank7113238049Organization5% or Greater Security Interest; Operational/Managerial Control100
Robert Freitag7315311586IndividualOperational/Managerial Control; ADP of the SNF
Menachem Shabat3072526219IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Legacy Healthcare Financial Services LLC5799046132OrganizationOperational/Managerial Control; ADP of the SNF
Vivek Anand Gupta7113925322IndividualOperational/Managerial Control; ADP of the SNF
Doros Generation Trust U/A/D 1/3/126901110428Organization5% or Greater Direct Ownership Interest; ADP of the SNF50
Gpn Family Trust U/A/D 4/28/085294988994Organization5% or Greater Direct Ownership Interest; ADP of the SNF50
Rogers Property Holdings LLC6103105739Organization5% or Greater Security Interest; ADP of the SNF100
Miller Cooper & Co, Ltd4183116049OrganizationADP of the SNF
Unknown party5092207951OrganizationADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Clark Manor
Clark Skilled Nursing Facility LLC
235 residents
Other disclo…
2.53Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM★★☆☆☆235
  • Clark Skilled Nursing Facility LLC
    Other disclosed role235 res2.53 HPRD
    Overall 3Staffing Staff 3
Related CMS associates

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Name match to Clark Skilled Nursing Facility LLC in FEC filings. Similar names may appear—confirm on FEC.gov.