R. Fellen, Inc.

Enrollment entity

Provider / enrollment organization Enrollment PAC 2961591177 Enrollment ID O20071211000042

Linked facilitiesFacilities

StatesStates

1 parties: 0 organizations · 1 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Llatisha M Gonzalez	4587939434	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; Corporate Director	100

Llatisha M GonzalezPAC 4587939434
Individual1005% or Greater Direct Ownership Interest; Corporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Grace Healthcare Center R. Fellen, Inc. 58 residents		Other disclo…	4.39	Ovr★☆☆☆☆Stf★★★★☆Ins★☆☆☆☆QM★★★☆☆	58

Grace Healthcare Center
R. Fellen, Inc.
Other disclosed role58 res4.39 HPRD
Overall 1Staffing Staff 4

Related CMS associates

Name match to R. Fellen, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.