Ccsp Nova LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 1254525306 Enrollment ID O20101102001058

Details

Linked facilitiesFacilities
1
StatesStates
1

12 parties: 4 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Commonwealth Care of Roanoke Inc9436118585OrganizationOperational/Managerial Control
Brenda K White3375765894IndividualW-2 Managing Employee
Nova Care LLC9234323395Organization5% or Greater Direct Ownership Interest100
Dj Petrine LLC4688749542Organization5% or Greater Indirect Ownership Interest48
Deborah Petrine3476528126Individual5% or Greater Indirect Ownership Interest; Corporate Officer22
James Petrine0749444222Individual5% or Greater Indirect Ownership Interest22
Bdsheffer LLC9133294093Organization5% or Greater Indirect Ownership Interest20
Brady Sheffer0749255495Individual5% or Greater Indirect Ownership Interest20
Lury Goodall1658346309Individual5% or Greater Indirect Ownership Interest15
Patricia Stallard6103891858Individual5% or Greater Indirect Ownership Interest10
David Tucker9032140942Individual5% or Greater Indirect Ownership Interest; Corporate Officer7
Joe Alesantrino5597767533IndividualCorporate Officer

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Potomac Falls Health & Rehab Center
Ccsp Nova LLC
147 residents
Other disclo…
3.81Ovr★★★☆☆Stf★★★★Ins★★★☆☆QM★★★★147
Related CMS associates

FEC political contributions FEC contributions Beta

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