Shawnee Care Center, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 5092802850 Enrollment ID O20210415000794

Details

Linked facilitiesFacilities
1
StatesStates
1

9 parties: 3 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Sandra Taylor4981879004IndividualW-2 Managing Employee
Bgm Estate LLC6608159512Organization5% or Greater Direct Ownership Interest37.5
Gilbert F. Green Trust9739596966Organization5% or Greater Direct Ownership Interest25
Philip M. Green Revocable Trust6507088903Organization5% or Greater Direct Ownership Interest25
Kelly Mitchell9032190400Individual5% or Greater Direct Ownership Interest; 5% or Greater Indirect Ownership Interest12.5, 9.38
Angela Tabor9234197146Individual5% or Greater Indirect Ownership Interest9.38
Marcinda Mitchell0143288050Individual5% or Greater Indirect Ownership Interest9.37
Robert Mitchell0749245447Individual5% or Greater Indirect Ownership Interest9.37
Michael Brandon Morgan3779861364IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Shawnee Care Center
Shawnee Care Center, LLC
43 residents
Other disclo…
3.58Ovr☆☆☆☆Stf★★★☆☆Ins☆☆☆☆QM☆☆☆☆43
  • Shawnee Care Center, LLC
    Other disclosed role43 res3.58 HPRD
    Overall 1Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
12/28/2020Shawnee Care CenterShawnee Care Center, LLCCity of HugoBuyer
  1. 12/28/2020
    City of HugoShawnee Care Center, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Shawnee Care Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.