Moravian Home Incorporated

Mixed CMS roles · 100%

Organization PAC 3173666856 Enrollment ID O20100203000280

Linked facilitiesFacilities

Nurse HPRDNurse HPRD

5.72

8 parties: 4 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Molly Grice	5799272936	Individual	Operational/Managerial Control; ADP of the SNF	—
Moravian Home Incorporated	3173666856	Organization	5% or Greater Direct Ownership Interest; ADP of the SNF	100
Paul Harrison	9032521786	Individual	Corporate Officer	0
Kristin J Stathers	9234410382	Individual	Corporate Officer	—
Forvis Mazars LLP	7416866603	Organization	ADP of the SNF	—
Sydney M Clark	8921317702	Individual	ADP of the SNF	—
Functional Pathways of Tennessee LLC	5193255008	Organization	ADP of the SNF	—
Guardian Pharmacy of Eastern Nc, LLC	5496903205	Organization	ADP of the SNF	—

Molly GricePAC 5799272936
IndividualOperational/Managerial Control; ADP of the SNF
Moravian Home IncorporatedPAC 3173666856
Organization1005% or Greater Direct Ownership Interest; ADP of the SNF
Paul HarrisonPAC 9032521786
Individual0Corporate Officer
Kristin J StathersPAC 9234410382
IndividualCorporate Officer
Forvis Mazars LLPPAC 7416866603
OrganizationADP of the SNF
Sydney M ClarkPAC 8921317702
IndividualADP of the SNF
Functional Pathways of Tennessee LLCPAC 5193255008
OrganizationADP of the SNF
Guardian Pharmacy of Eastern Nc, LLCPAC 5496903205
OrganizationADP of the SNF

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Salemtowne Moravian Home Incorporated 92 residents			5.72	Ovr★★★★☆Stf★★★★☆Ins★★★★☆QM★★★☆☆	92

Related CMS associates

Also appears as enrollment entity on 1 facility.

Facility	Enrollment ID	Location	City
Salemtowne Moravian Home Incorporated 92 residents	O20100203000280		WINSTON-SALEM

Salemtowne
Moravian Home Incorporated
92 residents
Enrollment O20100203000280 · WINSTON-SALEM, NC · WINSTON-SALEM

Name match to Moravian Home Incorporated in FEC filings. Similar names may appear—confirm on FEC.gov.