Plantation Manor Nursing & Rehabilitation Center, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 5294876348 Enrollment ID O20100111000796

Details

Linked facilitiesFacilities
1
StatesStates
1

26 parties: 7 organizations · 19 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Central Management Company, LLC2567410319OrganizationOperational/Managerial Control; ADP of the SNF100
Teddy R Price2264410653Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF66.22, 100, 3.08
Teddy D Price0840715462IndividualOperational/Managerial Control; ADP of the SNF
Kisatchie Health, LLC8426006271Organization5% or Greater Direct Ownership Interest; ADP of the SNF51.43
Prico, Inc2163474164Organization5% or Greater Direct Ownership Interest; ADP of the SNF29.24
Freda P Zimmerman9537147921Individual5% or Greater Direct Ownership Interest; 5% or Greater Indirect Ownership Interest; ADP of the SNF6.44, 7.39
Unknown party2062921455IndividualADP of the SNF
Unknown party2567971930OrganizationADP of the SNF
Unknown party5799294187IndividualADP of the SNF
Unknown party6709395197IndividualADP of the SNF
Unknown party7012426489OrganizationADP of the SNF
Unknown party7416466800IndividualADP of the SNF
Unknown party9830608207OrganizationADP of the SNF
Unknown party9335658723IndividualADP of the SNF
Jeffrey John Combetta7618021361IndividualADP of the SNF
Keith B. Ferrington3779506779IndividualADP of the SNF
Thomas L Colvin5799713384IndividualADP of the SNF
Jeffrey Lee Cantrell1557385770IndividualADP of the SNF
Unknown party5698284081IndividualADP of the SNF
Unknown party4789193178IndividualADP of the SNF
Sheila M Bolwahnn5294250817IndividualADP of the SNF
Unknown party0749799112OrganizationADP of the SNF
Unknown party2961911359IndividualADP of the SNF
Unknown party3870002264IndividualADP of the SNF
Dawn Rogers4385169903IndividualADP of the SNF
Show all 26 parties (1 more)
NameOwner/control PACTypeRole(s)%
Central Management Company, LLC2567410319OrganizationOperational/Managerial Control; ADP of the SNF100
Teddy R Price2264410653Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF66.22, 100, 3.08
Teddy D Price0840715462IndividualOperational/Managerial Control; ADP of the SNF
Kisatchie Health, LLC8426006271Organization5% or Greater Direct Ownership Interest; ADP of the SNF51.43
Prico, Inc2163474164Organization5% or Greater Direct Ownership Interest; ADP of the SNF29.24
Freda P Zimmerman9537147921Individual5% or Greater Direct Ownership Interest; 5% or Greater Indirect Ownership Interest; ADP of the SNF6.44, 7.39
Unknown party2062921455IndividualADP of the SNF
Unknown party2567971930OrganizationADP of the SNF
Unknown party5799294187IndividualADP of the SNF
Unknown party6709395197IndividualADP of the SNF
Unknown party7012426489OrganizationADP of the SNF
Unknown party7416466800IndividualADP of the SNF
Unknown party9830608207OrganizationADP of the SNF
Unknown party9335658723IndividualADP of the SNF
Jeffrey John Combetta7618021361IndividualADP of the SNF
Keith B. Ferrington3779506779IndividualADP of the SNF
Thomas L Colvin5799713384IndividualADP of the SNF
Jeffrey Lee Cantrell1557385770IndividualADP of the SNF
Unknown party5698284081IndividualADP of the SNF
Unknown party4789193178IndividualADP of the SNF
Sheila M Bolwahnn5294250817IndividualADP of the SNF
Unknown party0749799112OrganizationADP of the SNF
Unknown party2961911359IndividualADP of the SNF
Unknown party3870002264IndividualADP of the SNF
Dawn Rogers4385169903IndividualADP of the SNF
James Shelton5496719767IndividualADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Plantation Manor Nursing and Rehab Center, LLC
Plantation Manor Nursing & Rehabilitation Center, LLC
129 residents
Other disclo…
3.70Ovr★★★★Stf★★★☆☆Ins★★★★QM★★☆☆☆129
Related CMS associates

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Name match to Plantation Manor Nursing & Rehabilitation Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.