Village at Cook Springs, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 1759306780 Enrollment ID O20051010000434

Details

Linked facilitiesFacilities
1
StatesStates
1

21 parties: 5 organizations · 16 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Noland Health Services, Inc2264341643Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Barbara E. Estep7517963978IndividualCorporate Director; Operational/Managerial Control; Managing Control - Governing Body0
Nicholas V Renda2668884362IndividualCorporate Director; Operational/Managerial Control; Managing Control - Governing Body0
Crystal A Blackwell0244596328IndividualOperational/Managerial Control; ADP of the SNF
Beronica P Buterworth3678091998IndividualOperational/Managerial Control; ADP of the SNF
Matthew Hall3274926142IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Randolph P Pickell1759577026IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Kathy Smothers6800028523IndividualOperational/Managerial Control; ADP of the SNF
Kelley Z Urban0648180380IndividualOperational/Managerial Control; ADP of the SNF
Karen Kenwright2365967908IndividualOperational/Managerial Control; ADP of the SNF
Debra J Nelson7214224955IndividualCorporate Director; Managing Control - Governing Body0
James T Waggoner4284900622IndividualCorporate Director; Managing Control - Governing Body0
Michele B Adamson1850667288IndividualCorporate Director; Managing Control - Governing Body0
George S Smith7012167216IndividualCorporate Director; Managing Control - Governing Body0
Isaac Ripon Britton3577654482IndividualCorporate Director; Managing Control - Governing Body0
Robert Gary Goff0345159729IndividualCorporate Director; Managing Control - Governing Body0
Gregory M Flippo7719898832IndividualManaging Control - Governing Body; ADP of the SNF
Noland Pharmacy LLC8628506649OrganizationADP of the SNF
Warren Averett LLC7911435961OrganizationADP of the SNF
Nutrition Plus, LLC8123543162OrganizationADP of the SNF
Flippo Enterprises LLC8022371699OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Village at Cook Springs Skilled Nursing Facility
Village at Cook Springs, LLC
132 residents
Other disclo…
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Related CMS associates

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Name match to Village at Cook Springs, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.