Country Club Retirement Center LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4880858778 Enrollment ID O20120605000341

Details

Linked facilitiesFacilities
1
StatesStates
1

15 parties: 1 organizations · 14 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Janet Harris9537320775IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF100
Abdallah Al-shahed9234160722IndividualOperational/Managerial Control; ADP of the SNF
Arkadiy Koltsov2365691128IndividualOperational/Managerial Control; ADP of the SNF
John Holland0648341529Individual5% or Greater Direct Ownership Interest; ADP of the SNF34.71
Teresa Holland-grescock7911894035Individual5% or Greater Direct Ownership Interest; ADP of the SNF34.71
Holland Group II, Ltd9739250614Organization5% or Greater Direct Ownership Interest; ADP of the SNF30.58
Unknown party0143734624IndividualIndirect Ownership Interest4.08
Unknown party1052825536IndividualIndirect Ownership Interest4.08
Unknown party2961916440IndividualIndirect Ownership Interest4.08
Unknown party3870007354IndividualIndirect Ownership Interest4.08
Unknown party7416461991IndividualIndirect Ownership Interest4.08
Unknown party8325552805IndividualIndirect Ownership Interest4.08
Unknown party9234643719IndividualIndirect Ownership Interest4.08
Unknown party4880108364IndividualIndirect Ownership Interest1.1
Unknown party6608380183IndividualIndirect Ownership Interest1.1

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Country Club Ret Center I I I
Country Club Retirement Center LLC
71 residents
Other disclo…
3.21Ovr★★★★Stf★★☆☆☆Ins★★★☆☆QM★★★★★71
  • Country Club Retirement Center LLC
    Other disclosed role71 res3.21 HPRD
    Overall 4Staffing Staff 2
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Country Club Retirement Center LLC in FEC filings. Similar names may appear—confirm on FEC.gov.