Ccrc of Overland Park LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4183973035 Enrollment ID O20180827000065

Details

Linked facilitiesFacilities
1
StatesStates
1

24 parties: 15 organizations · 9 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Pivotal Health Care LLC3375718075OrganizationOperational/Managerial Control; ADP of the SNF75
Scott E Gulledge3870402357IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest75, 3.26
Scenic Development LLC7810162518OrganizationOperational/Managerial Control; Direct Ownership Interest22.89
Gilbert R Wood6800704438IndividualOperational/Managerial Control; Indirect Ownership Interest2.34
Jordan R Anderson7618358771IndividualOperational/Managerial Control; Indirect Ownership Interest1.87
Travis S Gulledge6901338334IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest0.93
Amber Abby7214436435IndividualOperational/Managerial Control; ADP of the SNF
Caroline Martin7911298310IndividualOperational/Managerial Control; ADP of the SNF
Scenic Holdings LLC4082951249OrganizationDirect Ownership Interest76.01
Unknown party6406342229OrganizationDirect Ownership Interest1.09
Wsg LLC5991972002OrganizationIndirect Ownership Interest17.17
Poky - 5R LLC6002081700OrganizationIndirect Ownership Interest12.25
Steven M Howard0648351148IndividualIndirect Ownership Interest11.37
Cadet Investment LLC4284809989OrganizationIndirect Ownership Interest10.97
Marlene A Anderson5991613523IndividualIndirect Ownership Interest6.39
Wayne C Anderson3173431707IndividualIndirect Ownership Interest6.39
Lmray, LLC6507378908OrganizationIndirect Ownership Interest6.34
5 R Cattle, LLC5698287092OrganizationIndirect Ownership Interest6.13
3RK, LLC7315459716OrganizationIndirect Ownership Interest6.12
Unknown party0143716969OrganizationADP of the SNF
Unknown party5597251314OrganizationADP of the SNF
Curana Health of MISSOURI-KANSAS LLC4789716531OrganizationADP of the SNF
Summit Care, LLC7315073954OrganizationADP of the SNF
Unknown party6103312467OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Colonial Village
Ccrc of Overland Park LLC
35 residents
Other disclo…
4.43Ovr★★☆☆☆Stf★★★★Ins★★☆☆☆QM★★★★35
  • Ccrc of Overland Park LLC
    Other disclosed role35 res4.43 HPRD
    Overall 2Staffing Staff 4
Related CMS associates

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