Evergreen Care Center LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 2860727971 Enrollment ID O20190711002298

Linked facilitiesFacilities

StatesStates

7 parties: 4 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Evergreen Care Center Holdings LLC	2365777471	Organization	5% or Greater Direct Ownership Interest; Operational/Managerial Control	100
Phylicia Smith	6103222575	Individual	W-2 Managing Employee	—
Swc Ca Opco, LLC	9234535675	Organization	5% or Greater Indirect Ownership Interest	100
Aaron Chesley	3870599848	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer	50
Ajc Healthcare LLC	1355617002	Organization	5% or Greater Indirect Ownership Interest	50
James B Gamett	5890018089	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer	50
Jbg Partners LLC	8628344371	Organization	5% or Greater Indirect Ownership Interest	50

Evergreen Care Center Holdings LLCPAC 2365777471
Organization1005% or Greater Direct Ownership Interest; Operational/Managerial Control
Phylicia SmithPAC 6103222575
IndividualW-2 Managing Employee
Swc Ca Opco, LLCPAC 9234535675
Organization1005% or Greater Indirect Ownership Interest
Aaron ChesleyPAC 3870599848
Individual505% or Greater Indirect Ownership Interest; Corporate Officer
Ajc Healthcare LLCPAC 1355617002
Organization505% or Greater Indirect Ownership Interest
James B GamettPAC 5890018089
Individual505% or Greater Indirect Ownership Interest; Corporate Officer
Jbg Partners LLCPAC 8628344371
Organization505% or Greater Indirect Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Evergreen Care Center Evergreen Care Center LLC 46 residents		Other disclo…	4.20	Ovr★★★☆☆Stf★★☆☆☆Ins★★★☆☆QM★★★☆☆	46

Evergreen Care Center
Evergreen Care Center LLC
Other disclosed role46 res4.20 HPRD
Overall 3Staffing Staff 2

Related CMS associates

Name match to Evergreen Care Center LLC in FEC filings. Similar names may appear—confirm on FEC.gov.