Midlands Living Center, L.L.P.

Enrollment entity

Provider / enrollment organization Enrollment PAC 4981515996 Enrollment ID O20030923000022

Linked facilitiesFacilities

StatesStates

5 parties: 0 organizations · 5 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Jessica J Mccool	8628292596	Individual	Contracted Managing Employee; ADP of the SNF	0
Jordan Tjaden	5294262150	Individual	W-2 Managing Employee; ADP of the SNF	100
Tracy Busse	9739616699	Individual	W-2 Managing Employee	0
Douglas Goracke	5890606800	Individual	5% or Greater Direct Ownership Interest; General Partnership Interest; Corporate Officer	51
Steven K Chamley	5890783633	Individual	5% or Greater Direct Ownership Interest; General Partnership Interest; Corporate Officer	49

Jessica J MccoolPAC 8628292596
Individual0Contracted Managing Employee; ADP of the SNF
Jordan TjadenPAC 5294262150
Individual100W-2 Managing Employee; ADP of the SNF
Tracy BussePAC 9739616699
Individual0W-2 Managing Employee
Douglas GorackePAC 5890606800
Individual515% or Greater Direct Ownership Interest; General Partnership Interest
Steven K ChamleyPAC 5890783633
Individual495% or Greater Direct Ownership Interest; General Partnership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Midlands Living Center L L C Midlands Living Center, L.L.P. 70 residents		Other disclo…	3.78	Ovr★★★★☆Stf★★★★☆Ins★★★☆☆QM★★★★★	70

Midlands Living Center L L C
Midlands Living Center, L.L.P.
Other disclosed role70 res3.78 HPRD
Overall 4Staffing Staff 4

Related CMS associates

Name match to Midlands Living Center, L.L.P. in FEC filings. Similar names may appear—confirm on FEC.gov.