Andalusia Manor LLC

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 1052212685 Enrollment ID O20040116000613

Facilities by state

  • AL1

Details

Linked facilitiesFacilities
1

13 parties: 4 organizations · 9 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Sasser Enterprises Inc2769383371Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Stallion L. Sasser8325949936Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Managing Control - Governing Body12
Joanne Marie Smith8527251529IndividualOperational/Managerial Control; ADP of the SNF
Treece Mays4981599412IndividualOperational/Managerial Control; ADP of the SNF
Lillie Edwards3779067756IndividualOperational/Managerial Control
Sallee Sasser Williams4789585399Individual5% or Greater Indirect Ownership Interest; Managing Control - Governing Body; ADP of the SNF12
Sheila H. Sasser2668373275Individual5% or Greater Indirect Ownership Interest; Indirect Ownership Interest52
Sterling L. Sasser4789585308Individual5% or Greater Indirect Ownership Interest; Indirect Ownership Interest12
Stetson L. Sasser7416858030Individual5% or Greater Indirect Ownership Interest; Indirect Ownership Interest12
Unknown party2961986948OrganizationADP of the SNF
Unknown party0143704122OrganizationADP of the SNF
Unknown party1052895034OrganizationADP of the SNF
Scotty Armstead4688158660IndividualADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Andalusia Manor
Andalusia Manor LLC
93 residents
Other disclo…
4.50Ovr★★★★Stf★★★★★Ins★★★☆☆QM★★★☆☆93
  • Andalusia Manor LLC
    Other disclosed role93 res4.50 HPRD
    Overall 4Staffing Staff 5
Related CMS associates

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Name match to Andalusia Manor LLC in FEC filings. Similar names may appear—confirm on FEC.gov.