Providence Place, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4486176815 Enrollment ID O20250314002074

Details

Linked facilitiesFacilities
1
StatesStates
1

27 parties: 1 organizations · 26 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Dawn Britt Cutts5294257630IndividualOperational/Managerial Control; ADP of the SNF
Everyage5698684215Organization5% or Greater Direct Ownership Interest; 5% or Greater Security Interest; Operational/Managerial Control
Maria R Niles5294984191IndividualOperational/Managerial Control; ADP of the SNF
Tammy Jones0547604993IndividualCorporate Officer; Operational/Managerial Control; Managing Control - Governing Body
Aimee N Reimann6800862764IndividualCorporate Officer; Operational/Managerial Control; Managing Control - Governing Body
Lee B Syria7315080033IndividualCorporate Officer; Operational/Managerial Control; Managing Control - Governing Body
Kenneth Wayne Clapp2264928449IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Susan Stone3779494364IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Charles W Erdman6608767835IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Diana R Sullivan2365970878IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Kathy Wood1850724857IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Lamont D Maddox0547798050IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Jody Street5092159442IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Paul Allen Gray2365886710IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Julius W Abernethy4789052937IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Michelle Horton1052789203IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Shane Smith3870961022IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Gregory Alcorn0941330021IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Cory Scott Tobin9032542030IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Lawrence Ray Bolick3779960471IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Margaret N Wiley2466797527IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Anthony Branch0749199362IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Mills Hunter March7113350117IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Ronald Bradley Thie5496188484IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Parker Daughtry Howell2769815752IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Show all 27 parties (2 more)
NameOwner/control PACTypeRole(s)%
Dawn Britt Cutts5294257630IndividualOperational/Managerial Control; ADP of the SNF
Everyage5698684215Organization5% or Greater Direct Ownership Interest; 5% or Greater Security Interest; Operational/Managerial Control
Maria R Niles5294984191IndividualOperational/Managerial Control; ADP of the SNF
Tammy Jones0547604993IndividualCorporate Officer; Operational/Managerial Control; Managing Control - Governing Body
Aimee N Reimann6800862764IndividualCorporate Officer; Operational/Managerial Control; Managing Control - Governing Body
Lee B Syria7315080033IndividualCorporate Officer; Operational/Managerial Control; Managing Control - Governing Body
Kenneth Wayne Clapp2264928449IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Susan Stone3779494364IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Charles W Erdman6608767835IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Diana R Sullivan2365970878IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Kathy Wood1850724857IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Lamont D Maddox0547798050IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Jody Street5092159442IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Paul Allen Gray2365886710IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Julius W Abernethy4789052937IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Michelle Horton1052789203IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Shane Smith3870961022IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Gregory Alcorn0941330021IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Cory Scott Tobin9032542030IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Lawrence Ray Bolick3779960471IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Margaret N Wiley2466797527IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Anthony Branch0749199362IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Mills Hunter March7113350117IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Ronald Bradley Thie5496188484IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Parker Daughtry Howell2769815752IndividualCorporate Director; Managing Control - Governing Body; ADP of the SNF
Heather Sloan3173019353IndividualCorporate Officer
Venezela Thomas Slade-hartman5294892097IndividualADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Westchester Manor at Providence Place
Providence Place, LLC
119 residents
Other disclo…
4.84Ovr★★★☆☆Stf★★★★Ins★★★☆☆QM★★☆☆☆119

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
10/01/2024Westchester Manor at Providence PlaceProvidence Place, LLCPprc Nursing Home IncBuyer
  1. 10/01/2024
    Pprc Nursing Home IncProvidence Place, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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