Magnolia Senior Care LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 3971695503 Enrollment ID O20070827000692

Details

Linked facilitiesFacilities
1
StatesStates
1

5 parties: 1 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Andrew T Montgomery3173988409IndividualOperational/Managerial Control; ADP of the SNF
Tillman Senior Care, LLC3274998505Organization5% or Greater Direct Ownership Interest100
Clifford Tillman9830084060Individual5% or Greater Indirect Ownership Interest; ADP of the SNF99
Timothy Duncan Estes5698664019IndividualADP of the SNF
Joseph Stephens3274912969IndividualADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Magnolia Senior Care, LLC
Magnolia Senior Care LLC
57 residents
Other disclo…
4.14Ovr★★★★Stf★★★☆☆Ins★★★☆☆QM★★★★★57
  • Magnolia Senior Care LLC
    Other disclosed role57 res4.14 HPRD
    Overall 4Staffing Staff 3
Related CMS associates

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