Lafayette Extended Care, L.L.C

Enrollment entity

Provider / enrollment organization Enrollment PAC 5597659755 Enrollment ID O20040210000495

Linked facilitiesFacilities

StatesStates

6 parties: 4 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Prime Health Care Enterprises, Inc	4082508247	Organization	5% or Greater Direct Ownership Interest; Operational/Managerial Control	—
Prime Management, LLC	4981830452	Organization	Operational/Managerial Control	—
Yvonne Butler	2163316605	Individual	W-2 Managing Employee	—
Archie J. Chapman	2769376821	Individual	5% or Greater Direct Ownership Interest; Corporate Director	100
Prime Healthcare Enterprise LLC	4385870823	Organization	5% or Greater Direct Ownership Interest	—
Servisfirst Bank	9830356518	Organization	5% or Greater Mortgage Interest	—

Prime Health Care Enterprises, IncPAC 4082508247
Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control
Prime Management, LLCPAC 4981830452
OrganizationOperational/Managerial Control
Yvonne ButlerPAC 2163316605
IndividualW-2 Managing Employee
Archie J. ChapmanPAC 2769376821
Individual1005% or Greater Direct Ownership Interest; Corporate Director
Prime Healthcare Enterprise LLCPAC 4385870823
Organization5% or Greater Direct Ownership Interest
Servisfirst BankPAC 9830356518
Organization5% or Greater Mortgage Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Lafayette Extended Care Lafayette Extended Care, L.L.C 58 residents		Other disclo…	3.82	Ovr★★☆☆☆Stf★☆☆☆☆Ins★★★☆☆QM★★★☆☆	58

Lafayette Extended Care
Lafayette Extended Care, L.L.C
Other disclosed role58 res3.82 HPRD
Overall 2Staffing Staff 1

Related CMS associates

Name match to Lafayette Extended Care, L.L.C in FEC filings. Similar names may appear—confirm on FEC.gov.