Colbert Nursing Home, Inc.

Enrollment entity
Provider / enrollment organization Enrollment PAC 1658336342 Enrollment ID O20210412002412

Details

Linked facilitiesFacilities
1
StatesStates
1

12 parties: 5 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Sandra Taylor4981879004IndividualW-2 Managing Employee
Philip M. Green Revocable Trust6507088903Organization5% or Greater Direct Ownership Interest25
Angela Tabor9234197146Individual5% or Greater Direct Ownership Interest12.5
Kelly Mitchell9032190400Individual5% or Greater Direct Ownership Interest12.5
Marcinda Mitchell0143288050Individual5% or Greater Direct Ownership Interest12.5
Robert Mitchell0749245447Individual5% or Greater Direct Ownership Interest12.5
Tiffany Seay Exempt Tr3971039264Organization5% or Greater Direct Ownership Interest7.42
Bypass Tr Cu Gilbert F Green Tr5597291039Organization5% or Greater Direct Ownership Interest6.96
Mrtl Deduction Tr Cu Gilbert F Green Tr4688100126Organization5% or Greater Direct Ownership Interest5.54
Philip Marion Green Exempt Tr Cu Gilbert F Green Tr9739554858Organization5% or Greater Direct Ownership Interest5.08
Jaci Pitts4385171883IndividualCorporate Officer
Miranda Belt5294262796IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Southern Pointe Living Center
Colbert Nursing Home, Inc.
54 residents
Other disclo…
1.87Ovr☆☆☆☆Stf☆☆☆☆Ins★★☆☆☆QM☆☆☆☆54

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
12/28/2020Southern Pointe Living CenterColbert Nursing Home, Inc.City of HugoBuyer
  1. 12/28/2020
    City of HugoColbert Nursing Home, Inc.
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Colbert Nursing Home, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.