Dinwiddie Health Care LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4880767805 Enrollment ID O20080723000594

Details

Linked facilitiesFacilities
1
StatesStates
1

20 parties: 8 organizations · 12 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Commonwealth Care of Roanoke Inc9436118585OrganizationOperational/Managerial Control; ADP of the SNF0
Ty'shanda Williams5294213716IndividualOperational/Managerial Control
Andrew Overstreet0244149276IndividualOperational/Managerial Control; ADP of the SNF
John Sevier1658282819IndividualOperational/Managerial Control
Dj Petrine LLC4688749542Organization5% or Greater Direct Ownership Interest; ADP of the SNF49.25
Bdsheffer LLC9133294093Organization5% or Greater Direct Ownership Interest; ADP of the SNF; Direct Ownership Interest19
Lury Goodall1658346309Individual5% or Greater Direct Ownership Interest; ADP of the SNF; Direct Ownership Interest16.75
Patricia Stallard6103891858Individual5% or Greater Direct Ownership Interest; ADP of the SNF; Direct Ownership Interest10
Deborah Petrine3476528126Individual5% or Greater Indirect Ownership Interest; Corporate Officer; ADP of the SNF22.65
James Petrine0749444222Individual5% or Greater Indirect Ownership Interest; ADP of the SNF; Indirect Ownership Interest22.65
Brady Sheffer0749255495Individual5% or Greater Indirect Ownership Interest; Corporate Officer; ADP of the SNF15, 0
Unknown party0749768265IndividualADP of the SNF; Direct Ownership Interest2.5
David Tucker9032140942IndividualCorporate Officer; ADP of the SNF0
Joe Alesantrino5597767533IndividualCorporate Officer; ADP of the SNF
Unknown party4688152192OrganizationADP of the SNF
Adam Wali Hamidi4587836689IndividualADP of the SNF
Unknown party1951889468OrganizationADP of the SNF
Unknown party2860970373OrganizationADP of the SNF
Unknown party7315425824OrganizationADP of the SNF
Unknown party3779061288OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Dinwiddie Health and Rehab Center
Dinwiddie Health Care LLC
55 residents
Other disclo…
3.91Ovr★★☆☆☆Stf☆☆☆☆Ins★★★☆☆QM★★★☆☆55
Related CMS associates

FEC political contributions FEC contributions Beta

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