Vicksburg Convalescent, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6103843263 Enrollment ID O20051027000902

Details

Linked facilitiesFacilities
1
StatesStates
1

11 parties: 7 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Vicksburg Management Associates, LLC3173606357OrganizationOperational/Managerial Control100
Amy U Brown7810914983IndividualOperational/Managerial Control; ADP of the SNF
Vanguard Healthcare, LLC5294644902Organization5% or Greater Direct Ownership Interest100
William D Orand8921917634Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Corporate Director54
Ervin General Partnership8527972835Organization5% or Greater Indirect Ownership Interest40
Jere Suzanne Ervin Irrv Tr2668545088Organization5% or Greater Indirect Ownership Interest16
William Jeffrey Ervin Irrv Tr8820162969Organization5% or Greater Indirect Ownership Interest16
Orand LP7517871825Organization5% or Greater Indirect Ownership Interest6
John T Fick5991612962IndividualCorporate Officer
Nicola Harrison7618239492IndividualADP of the SNF
Capital One Na6800050014Organization5% or Greater Mortgage Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Vicksburg Convalescent Center
Vicksburg Convalescent, LLC
77 residents
Other disclo…
4.39Ovr★★★★★Stf★★★★★Ins★★★★★QM★★★★77
  • Vicksburg Convalescent, LLC
    Other disclosed role77 res4.39 HPRD
    Overall 5Staffing Staff 5
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Vicksburg Convalescent, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.