Kemper County Ltc Inc

Enrollment entity

Provider / enrollment organization Enrollment PAC 6305808841 Enrollment ID O20041027001269

Linked facilitiesFacilities

StatesStates

6 parties: 0 organizations · 6 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Garry H Pace	9335133321	Individual	5% or Greater Direct Ownership Interest; Corporate Director; Operational/Managerial Control	50
Ruby Bolen	3173678646	Individual	Operational/Managerial Control; ADP of the SNF	—
Steven L Delaney	6204820293	Individual	5% or Greater Direct Ownership Interest; Corporate Director	50
Rebecca H Shelton	2264581016	Individual	Corporate Director	0
Harold M Beebe	2567456551	Individual	Corporate Director	0
Olugboyega Ransome-kuti	9234255308	Individual	ADP of the SNF	—

Garry H PacePAC 9335133321
Individual505% or Greater Direct Ownership Interest; Corporate Director
Ruby BolenPAC 3173678646
IndividualOperational/Managerial Control; ADP of the SNF
Steven L DelaneyPAC 6204820293
Individual505% or Greater Direct Ownership Interest; Corporate Director
Rebecca H SheltonPAC 2264581016
Individual0Corporate Director
Harold M BeebePAC 2567456551
Individual0Corporate Director
Olugboyega Ransome-kutiPAC 9234255308
IndividualADP of the SNF

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Ms Care Center of Dekalb Kemper County Ltc Inc 55 residents		Other disclo…	5.17	Ovr★★★★★Stf★★★★★Ins★★★★☆QM★★★☆☆	55

Ms Care Center of Dekalb
Kemper County Ltc Inc
Other disclosed role55 res5.17 HPRD
Overall 5Staffing Staff 5

Related CMS associates

Name match to Kemper County Ltc Inc in FEC filings. Similar names may appear—confirm on FEC.gov.