Pontotoc Ltc, Inc

Enrollment entity

Provider / enrollment organization Enrollment PAC 4880681402 Enrollment ID O20040427000630

Linked facilitiesFacilities

StatesStates

4 parties: 1 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Donna Stephens	0143360784	Individual	Operational/Managerial Control	100
Gene B Hubbard	8527951433	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer; W-2 Managing Employee	50
Troy Griffin	4880587799	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer; W-2 Managing Employee	50
Advanced Healthcare Management, Inc	9739072612	Organization	5% or Greater Direct Ownership Interest	100

Donna StephensPAC 0143360784
Individual100Operational/Managerial Control
Gene B HubbardPAC 8527951433
Individual505% or Greater Indirect Ownership Interest; Corporate Officer
Troy GriffinPAC 4880587799
Individual505% or Greater Indirect Ownership Interest; Corporate Officer
Advanced Healthcare Management, IncPAC 9739072612
Organization1005% or Greater Direct Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Pontotoc Health & Rehab Center Pontotoc Ltc, Inc 50 residents		Other disclo…	4.13	Ovr★★★★★Stf★★★★☆Ins★★★★★QM★★★★☆	50

Pontotoc Health & Rehab Center
Pontotoc Ltc, Inc
Other disclosed role50 res4.13 HPRD
Overall 5Staffing Staff 4

Related CMS associates

Name match to Pontotoc Ltc, Inc in FEC filings. Similar names may appear—confirm on FEC.gov.