PBJ320 Ownership

Terracina III, LLC

Provider / enrollment organizationFlorida
Enrollment PAC3274868344Enrollment IDO20190711001021

By state

State#
FL1
Total1

Details

Enrollment entity. CMS facility enrollment PAC with linked owners, facilities, and any ownership transactions in CMS data.
Total Facilities
1
Overall rating
5.0
Total nurse HPRD
4.88

12 parties: 4 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Henry B Huisman1759526429IndividualW-2 Managing Employee100
James A Weichert9638466071Individual5% or Greater Indirect Ownership Interest; Corporate Officer36, 100
John B. Goodman 2006 Irrv Grantor Tr3678846805Organization5% or Greater Direct Ownership Interest80
Randall W Benson0547572356Individual5% or Greater Indirect Ownership Interest; Corporate Officer16, 33.33
2012 Goodman Family Gst2062747132Organization5% or Greater Direct Ownership Interest20
Mark L Wilson6608880083Individual5% or Greater Indirect Ownership Interest16
South Dakota Trust Company, LLC3577836709Organization5% or Greater Indirect Ownership Interest16
Thomas Jay Salmen3375816515Individual5% or Greater Indirect Ownership Interest16
Clinton V Knacke2365832961IndividualCorporate Officer100
Craig E Edinger3173810512IndividualCorporate Officer33.33
Denise A Olson8820227341IndividualCorporate Officer33.33
Prestige Outpatient Providers, LLC5395185912OrganizationOther

Terracina III, LLC Portfolio

Facility Location % Own. HPRD Ratings Census Flags
Gardens at Terracina Health & Rehabilitation
Terracina III, LLC
26 residents
Other disclo…
4.88Ovr★★★★★Stf★★★★Ins★★★★QM★★★★★26

FEC political contributions FEC contributions Beta

Name match to Terracina III, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.