Anberry Transitional Care LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 3971813254 Enrollment ID O20151117002362

Details

Linked facilitiesFacilities
1
StatesStates
1

11 parties: 6 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Donald Walter Gormly2961310123Individual5% or Greater Direct Ownership Interest; Corporate Officer; Corporate Director50
Jerry Warren Holloway4688582844Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Corporate Director
David Kuhls0749418895IndividualW-2 Managing Employee
Dg 2016 Holdings Trust Dated September 14, 20167618226770Organization5% or Greater Indirect Ownership Interest24.75
Dh 2016 Holdings Trust Dated November 28, 20166709135866Organization5% or Greater Indirect Ownership Interest24.75
Jh 2016 Holdings Trust Dated November 28, 20161153670211Organization5% or Greater Indirect Ownership Interest24.75
Ng 2016 Holdings Trust Dated September 14, 20160446509509Organization5% or Greater Indirect Ownership Interest24.75
Don and Nancy Gormly Family Trust Dated February 25, 20028729329354Organization5% or Greater Indirect Ownership Interest0.5
Jerry and Debbie Holloway Revocable Trust Dated February 25, 20028022359447Organization5% or Greater Indirect Ownership Interest0.5
Debra L Holloway9234187105Individual5% or Greater Indirect Ownership Interest; Corporate Director
Nancy J Gormly1658612072Individual5% or Greater Indirect Ownership Interest; Corporate Director

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Anberry Post Acute
Anberry Transitional Care LLC
93 residents
Other disclo…
2.92Ovr★★☆☆☆Stf☆☆☆☆Ins★★☆☆☆QM★★★★★93
  • Anberry Transitional Care LLC
    Other disclosed role93 res2.92 HPRD
    Overall 2Staffing Staff 1
Related CMS associates

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