Country Club Center Homes, Inc

Enrollment entity

Provider / enrollment organization Enrollment PAC 1850287855 Enrollment ID O20040226000133

Linked facilitiesFacilities

StatesStates

6 parties: 0 organizations · 6 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Janet Harris	9537320775	Individual	Corporate Officer; Corporate Director; Operational/Managerial Control	100
Paul Lieber	8325202732	Individual	W-2 Managing Employee; Operational/Managerial Control; ADP of the SNF	75
Teresa Holland-grescock	7911894035	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; ADP of the SNF	50
John Holland	0648341529	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; ADP of the SNF	50
Unknown party	1658807904	Individual	ADP of the SNF	—
Unknown party	9830625185	Individual	ADP of the SNF	—

Janet HarrisPAC 9537320775
Individual100Corporate Officer; Corporate Director
Paul LieberPAC 8325202732
Individual75W-2 Managing Employee; Operational/Managerial Control
Teresa Holland-grescockPAC 7911894035
Individual505% or Greater Direct Ownership Interest; Corporate Officer
John HollandPAC 0648341529
Individual505% or Greater Direct Ownership Interest; Corporate Officer
Unknown partyPAC 1658807904
IndividualADP of the SNF
Unknown partyPAC 9830625185
IndividualADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Country Club Center I Country Club Center Homes, Inc 56 residents		Other disclo…	3.78	Ovr★★☆☆☆Stf★☆☆☆☆Ins★☆☆☆☆QM★★★★★	56

Country Club Center I
Country Club Center Homes, Inc
Other disclosed role56 res3.78 HPRD
Overall 2Staffing Staff 1

Related CMS associates

Name match to Country Club Center Homes, Inc in FEC filings. Similar names may appear—confirm on FEC.gov.