Pike Community Care Center, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4385737162 Enrollment ID O20070910000978

Details

Linked facilitiesFacilities
1
StatesStates
1

22 parties: 15 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Bobby L Beebe7315925617Individual5% or Greater Direct Ownership Interest; Corporate Officer; Operational/Managerial Control100
David W Stallard7214915511Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Medico LLC2062452303Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control85
Elton G Beebe4183667512Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control28.33
Tristar Rehab Inc7810409356OrganizationOperational/Managerial Control; ADP of the SNF
Regional Services, Inc5496741316OrganizationOperational/Managerial Control; ADP of the SNF
David A Flippin8123304482IndividualOperational/Managerial Control
Misty Linder3678665163IndividualOperational/Managerial Control; ADP of the SNF
Regional Care LLC3971734401OrganizationOperational/Managerial Control
Lucius M Lampton0547221798IndividualOperational/Managerial Control; ADP of the SNF
Account Management Services Inc3476503855OrganizationOperational/Managerial Control; ADP of the SNF
Administrative Systems Inc7113439654OrganizationOperational/Managerial Control; ADP of the SNF
Providence Care LLC7416994611OrganizationOperational/Managerial Control; ADP of the SNF
Provider Professional Services Inc6204348741OrganizationOperational/Managerial Control; ADP of the SNF
Toni H Parkinson6204147416IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Elton G Beebe Sr Irrv Grndchildrens Tr0446273080Organization5% or Greater Direct Ownership Interest; ADP of the SNF15
Qsst Tr for Alison Beebe Sadler Danos and Her Descendants1951539501Organization5% or Greater Indirect Ownership Interest28.34
Qsst Tr for Felicia Beebe Stallard and Her Descendants9133357783Organization5% or Greater Indirect Ownership Interest28.33
Windham House of Hattiesburg LLC3476620246OrganizationADP of the SNF
Pharmaceutical Consulting Services of America LLC9739691270OrganizationADP of the SNF
Linda Maynor5395252308OrganizationADP of the SNF
Nutrition Systems Consulting Inc6709399785OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Camellia Estates
Pike Community Care Center, LLC
22 residents
Other disclo…
5.05Ovr★★★★Stf★★★★Ins★★★★QM★★★★22
  • Pike Community Care Center, LLC
    Other disclosed role22 res5.05 HPRD
    Overall 4Staffing Staff 4
Related CMS associates

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Name match to Pike Community Care Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.