Selectis Warrenton LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 5395143259 Enrollment ID O20211006002279

Details

Linked facilitiesFacilities
1
StatesStates
1

20 parties: 6 organizations · 14 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Mohamed Othman7416198940IndividualOperational/Managerial Control; ADP of the SNF
Keron Campbell4789116179IndividualOperational/Managerial Control; ADP of the SNF
Novetta Small3678059730IndividualOperational/Managerial Control; ADP of the SNF
Adam A Desmond0941613830IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Laura Ferguson9739670704IndividualOperational/Managerial Control; ADP of the SNF
Michelle Hahner2769968825IndividualOperational/Managerial Control; ADP of the SNF
Sherry Mccorkle8820589898IndividualOperational/Managerial Control; ADP of the SNF
Jamie Trost1850877911IndividualOperational/Managerial Control; ADP of the SNF
Shawn Kuhn0648761619IndividualOperational/Managerial Control; ADP of the SNF
Sarah Day8123504289IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Krystal D Eckhart8022445816IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Michael Todd Peacock4981773108IndividualOperational/Managerial Control; ADP of the SNF
Selectis Management LLC2365855939OrganizationOperational/Managerial Control; ADP of the SNF
Selectis Health Inc7416218466Organization5% or Greater Direct Ownership Interest; ADP of the SNF100
Lance Baller4688935638IndividualADP of the SNF; Indirect Ownership Interest9.32
Unknown party7416433479OrganizationADP of the SNF
Unknown party8325524382OrganizationADP of the SNF
Unknown party6709362767OrganizationADP of the SNF
Unknown party5496231458IndividualADP of the SNF
Unknown party6608352661OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Warrenton Woods of Journey LLC
Selectis Warrenton LLC
48 residents
Other disclo…
4.13Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★48

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
06/21/2021Warrenton Woods of Journey LLCSelectis Warrenton LLCCrm of Warrenton LLCBuyer
  1. 06/21/2021
    Crm of Warrenton LLCSelectis Warrenton LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Selectis Warrenton LLC in FEC filings. Similar names may appear—confirm on FEC.gov.