Granite Falls Ltc, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 5799966727 Enrollment ID O20110224000334, O20110413000064 (+3)

Details

Linked facilitiesFacilities
1
StatesStates
1

16 parties: 2 organizations · 14 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Principle Long Term Care, Inc.5193906386Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF50
Donna Stephens3476629650IndividualOperational/Managerial Control; ADP of the SNF
Shawnna Fairman0941602072IndividualOperational/Managerial Control; ADP of the SNF
Kathleen S Wilson6800130790IndividualOperational/Managerial Control; ADP of the SNF
Gale R Boice2860737442IndividualCorporate Officer; ADP of the SNF; Operational/Managerial Control
Heidi Hinton6901399450IndividualOperational/Managerial Control; ADP of the SNF
Jayne Burnette3072856053IndividualManaging Control - Governing Body; ADP of the SNF
James Walter Goforth9638320617IndividualManaging Control - Governing Body; ADP of the SNF
Dewey Todd Detar6305872029IndividualADP of the SNF; Managing Control - Governing Body
Principle It Services, Inc.7810178001Organization5% or Greater Direct Ownership Interest50
Robert O'neil Hill1557279130Individual5% or Greater Indirect Ownership Interest; ADP of the SNF; Indirect Ownership Interest20.6, 20
Stephen Britt Hill2466360045Individual5% or Greater Indirect Ownership Interest; ADP of the SNF20.02, 20
Raymond Gregg Hill0648188227Individual5% or Greater Indirect Ownership Interest; ADP of the SNF18.47, 18
Dianne Johnson3274714464IndividualCorporate Director; Corporate Officer
Unknown party8022586536IndividualADP of the SNF
Lani N Stover9133354509IndividualADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Jacob's Creek Nursing and Rehabilitation Center
Granite Falls Ltc, LLC
152 residents
Other disclo…
3.32Ovr★★★★★Stf★★★☆☆Ins★★★★QM★★★★★152
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Granite Falls Ltc, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.