Colonial Terrace Nursing Care Center LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7113014960 Enrollment ID O20071026000206

Details

Linked facilitiesFacilities
1
StatesStates
1

19 parties: 4 organizations · 15 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Michael Sinks4385121565IndividualOperational/Managerial Control
Lena Cooper-krops6204313489IndividualOperational/Managerial Control
December Drywater3476030651IndividualOperational/Managerial Control
Kathy Gully1658858832IndividualOperational/Managerial Control
Jana Hunt8921585100IndividualOperational/Managerial Control
Randy Blalock2567949746IndividualOperational/Managerial Control
Jodi M Coatney2668384454IndividualOperational/Managerial Control; ADP of the SNF
Jack H Brown0143381293IndividualOperational/Managerial Control; ADP of the SNF
Bgm Estate LLC6608159512Organization5% or Greater Direct Ownership Interest37.5
Tiffany Seay Exempt Tr3971039264Organization5% or Greater Direct Ownership Interest; ADP of the SNF13.67
Angelus Holdings LLC2668959842Organization5% or Greater Direct Ownership Interest; ADP of the SNF12.5
Philip Marion Green Exempt Tr Cu Gilbert F Green Tr9739554858Organization5% or Greater Direct Ownership Interest; ADP of the SNF11.33
Angela Tabor9234197146Individual5% or Greater Indirect Ownership Interest; ADP of the SNF9.38
Kelly Mitchell9032190400Individual5% or Greater Indirect Ownership Interest; ADP of the SNF9.38
Marcinda Mitchell0143288050Individual5% or Greater Indirect Ownership Interest; ADP of the SNF9.38
Robert Mitchell0749245447Individual5% or Greater Indirect Ownership Interest; ADP of the SNF9.28
Jaci Pitts4385171883IndividualCorporate Officer
Miranda Belt5294262796IndividualCorporate Officer
Sandra Taylor4981879004IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Colonial Terrace Care Center
Colonial Terrace Nursing Care Center LLC
39 residents
Other disclo…
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  • Colonial Terrace Nursing Care Center LLC
    Other disclosed role39 res
    Overall 3Staffing Staff 1
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Colonial Terrace Nursing Care Center LLC in FEC filings. Similar names may appear—confirm on FEC.gov.