400 South Independence Avenue Opco LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 1850892878 Enrollment ID O20250831000418

Details

Linked facilitiesFacilities
1
StatesStates
1

21 parties: 15 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Alyssa L Clark4587920335IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Bridget Riggins6305347329IndividualOperational/Managerial Control; ADP of the SNF
Robert Sword8325354509IndividualOperational/Managerial Control; ADP of the SNF
Tequilla Jones8022520253IndividualOperational/Managerial Control; ADP of the SNF
Tiffany Hoback7315391984IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Vanessa Sturgill Fant1052205473IndividualOperational/Managerial Control; ADP of the SNF
SNF Mgr LLC4688186810OrganizationOperational/Managerial Control; ADP of the SNF
Independence Parentco LLC7113428137Organization5% or Greater Direct Ownership Interest100
Grayson Holdco LLC8022519040Organization5% or Greater Indirect Ownership Interest100
SNF Care Centers LLC3870005002Organization5% or Greater Indirect Ownership Interest100
Vaop Holdco LLC5496261406Organization5% or Greater Indirect Ownership Interest100
Zenith Holdco II LLC5698287829Organization5% or Greater Indirect Ownership Interest100
Zenith Holdco LLC7315459542Organization5% or Greater Indirect Ownership Interest100
Nu C II Irrevocable Trust1951813187Organization5% or Greater Indirect Ownership Interest50
Nu C Irrevocable Trust9133631369Organization5% or Greater Indirect Ownership Interest50
Unknown party9830690858OrganizationADP of the SNF
Unknown party6204337223OrganizationADP of the SNF
Unknown party7012418031OrganizationADP of the SNF
Unknown party5395246318OrganizationADP of the SNF
Unknown party8921509944OrganizationADP of the SNF
Unknown party3577064591OrganizationTrustee of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Grayson Health and Rehabilitation
400 South Independence Avenue Opco LLC
113 residents
Other disclo…
2.72Ovr★★★★★Stf★★☆☆☆Ins★★★★QM★★★★★113
  • 400 South Independence Avenue Opco LLC
    Other disclosed role113 res2.72 HPRD
    Overall 5Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
06/01/2025Grayson Health and Rehabilitation400 South Independence Avenue Opco LLCGrayson Facility Operations, LLCBuyer
  1. 06/01/2025
    Grayson Facility Operations, LLC400 South Independence Avenue Opco LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to 400 South Independence Avenue Opco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.