Wheat State Manor, Inc

Enrollment entity

Provider / enrollment organization Enrollment PAC 5799720744 Enrollment ID O20050621000932

Linked facilitiesFacilities

StatesStates

3 parties: 1 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Grace Team LLC	5395018774	Organization	Operational/Managerial Control	100
Madison Parker	6204203201	Individual	Corporate Director; W-2 Managing Employee	100
Jason Smith	3274853221	Individual	5% or Greater Direct Ownership Interest; Other	100

Grace Team LLCPAC 5395018774
Organization100Operational/Managerial Control
Madison ParkerPAC 6204203201
Individual100Corporate Director; W-2 Managing Employee
Jason SmithPAC 3274853221
Individual1005% or Greater Direct Ownership Interest; Other

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Wheat State Manor Wheat State Manor, Inc 27 residents		Other disclo…	3.85	Ovr★★☆☆☆Stf★★★★★Ins★★☆☆☆QM★☆☆☆☆	27

Wheat State Manor
Wheat State Manor, Inc
Other disclosed role27 res3.85 HPRD
Overall 2Staffing Staff 5

Related CMS associates

Name match to Wheat State Manor, Inc in FEC filings. Similar names may appear—confirm on FEC.gov.