Fort Worth Skilled Care LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 1850610650 Enrollment ID O20150429000649

Linked facilitiesFacilities

StatesStates

5 parties: 1 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Tgr Healthcare, LLC	0749426336	Organization	Operational/Managerial Control; ADP of the SNF	100
Brian K Thomas	0648416230	Individual	5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF	51
Ricardo L Villa	4789592619	Individual	5% or Greater Direct Ownership Interest; Operational/Managerial Control	49
Unknown party	3072016500	Individual	ADP of the SNF	—
Unknown party	1254834781	Individual	ADP of the SNF	—

Tgr Healthcare, LLCPAC 0749426336
Organization100Operational/Managerial Control; ADP of the SNF
Brian K ThomasPAC 0648416230
Individual515% or Greater Direct Ownership Interest; Operational/Managerial Control
Ricardo L VillaPAC 4789592619
Individual495% or Greater Direct Ownership Interest; Operational/Managerial Control
Unknown partyPAC 3072016500
IndividualADP of the SNF
Unknown partyPAC 1254834781
IndividualADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
IMMANUEL'S Healthcare Fort Worth Skilled Care LLC 66 residents		Other disclo…	2.83	Ovr★★★☆☆Stf★☆☆☆☆Ins★★★☆☆QM★★★★★	66

IMMANUEL'S Healthcare
Fort Worth Skilled Care LLC
Other disclosed role66 res2.83 HPRD
Overall 3Staffing Staff 1

Related CMS associates

Name match to Fort Worth Skilled Care LLC in FEC filings. Similar names may appear—confirm on FEC.gov.