CIVIC Center Health and Rehabilitation, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 2163330689 Enrollment ID O20021028000015

Linked facilitiesFacilities

StatesStates

14 parties: 7 organizations · 7 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Stella Webb	3870544430	Individual	W-2 Managing Employee; Operational/Managerial Control	100
Lynn S Rasco	0547498206	Individual	Corporate Director; Operational/Managerial Control	33
Derek Patterson	8123936531	Individual	Corporate Director; Operational/Managerial Control	33
Letchernique Holmes	6204229636	Individual	Corporate Director; Operational/Managerial Control	33
Nhs Operations LLC	2668630484	Organization	5% or Greater Direct Ownership Interest	100
James Norman Estes	2668380189	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer	89.36, 100
James Norman Estes Jr Tr	0244148765	Organization	5% or Greater Indirect Ownership Interest	5.32
Jennifer Lee Estes Tr 031093	2062320583	Organization	5% or Greater Indirect Ownership Interest	5.32
Phillip Cody Long	3678708534	Individual	Corporate Officer; Other	10.64
Berkadia Commercial Mortgage LLC	5890962047	Organization	5% or Greater Mortgage Interest; 5% or Greater Security Interest	100
Regions Bank	6800069139	Organization	5% or Greater Security Interest	—
CIVIC Center Health Realty LLC	4082866710	Organization	5% or Greater Security Interest	—
Brandon S. Agee	7012300445	Individual	Other	10.64
Nhs Management LLC	9335057850	Organization	Other	0

Stella WebbPAC 3870544430
Individual100W-2 Managing Employee; Operational/Managerial Control
Lynn S RascoPAC 0547498206
Individual33Corporate Director; Operational/Managerial Control
Derek PattersonPAC 8123936531
Individual33Corporate Director; Operational/Managerial Control
Letchernique HolmesPAC 6204229636
Individual33Corporate Director; Operational/Managerial Control
Nhs Operations LLCPAC 2668630484
Organization1005% or Greater Direct Ownership Interest
James Norman EstesPAC 2668380189
Individual89.36, 1005% or Greater Indirect Ownership Interest; Corporate Officer
James Norman Estes Jr TrPAC 0244148765
Organization5.325% or Greater Indirect Ownership Interest
Jennifer Lee Estes Tr 031093PAC 2062320583
Organization5.325% or Greater Indirect Ownership Interest
Phillip Cody LongPAC 3678708534
Individual10.64Corporate Officer; Other
Berkadia Commercial Mortgage LLCPAC 5890962047
Organization1005% or Greater Mortgage Interest; 5% or Greater Security Interest
Regions BankPAC 6800069139
Organization5% or Greater Security Interest
CIVIC Center Health Realty LLCPAC 4082866710
Organization5% or Greater Security Interest
Brandon S. AgeePAC 7012300445
Individual10.64Other
Nhs Management LLCPAC 9335057850
Organization0Other

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
CIVIC Center Health and Rehabilitation, LLC 87 residents		Other disclo…	3.56	Ovr★★☆☆☆Stf★★★★☆Ins★★☆☆☆QM★★★★☆	87

CIVIC Center Health and Rehabilitation, LLC
Other disclosed role87 res3.56 HPRD
Overall 2Staffing Staff 4

Related CMS associates

Name match to CIVIC Center Health and Rehabilitation, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.