Palm Garden of Winter Haven LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6002042785 Enrollment ID O20131203000206

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 7 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Waseem J David0345580528IndividualOperational/Managerial Control; ADP of the SNF
Tunya Washington3173049186IndividualOperational/Managerial Control; ADP of the SNF
Palm Garden Healthcare Holdings, LLC8527294206Organization5% or Greater Direct Ownership Interest50
Patsy Mccarver7911134432Individual5% or Greater Indirect Ownership Interest50
Patsy E. Mccarver Trust U/A Dated June 22, 2001 As Amended, Patsy E7517193295Organization5% or Greater Indirect Ownership Interest; ADP of the SNF48
James O. Mccarver Qtip Business Marital Trust U/A Dated June 22, 2001,2567840333Organization5% or Greater Indirect Ownership Interest; ADP of the SNF38
James O. Mccarver Residuary Trust Share U/A Dated 06/22/20013476931247Organization5% or Greater Indirect Ownership Interest8
James Chalmers5698717247IndividualCorporate Officer
Jeffrey D Bomberger0143388686IndividualCorporate Officer
Robert Greene1153226857IndividualCorporate Officer
Pgwin Re, LLC1355867367Organization5% or Greater Security Interest; ADP of the SNF100
Palm Healthcare Management, LLC9830326354OrganizationADP of the SNF
Regions Bank6800069139Organization5% or Greater Mortgage Interest; 5% or Greater Security Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Palm Garden of Winter Haven
Palm Garden of Winter Haven LLC
114 residents
Other disclo…
3.76Ovr★★★★Stf★★★★★Ins★★★☆☆QM★★★★114
  • Palm Garden of Winter Haven LLC
    Other disclosed role114 res3.76 HPRD
    Overall 4Staffing Staff 5
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