Selectis Sparta LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7113321522 Enrollment ID O20210806002409

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 2 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Lance Baller4688935638Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Corporate Director9.32
Christopher Randolph Barker9032522925IndividualCorporate Officer; Corporate Director; Operational/Managerial Control
Krystal D Eckhart8022445816IndividualOperational/Managerial Control
Rhonda J Ross5395172183IndividualOperational/Managerial Control
Selectis Management LLC2365855939OrganizationOperational/Managerial Control
Peterson Mirville8325319148IndividualW-2 Managing Employee100
Selectis Health Inc7416218466Organization5% or Greater Direct Ownership Interest100
Zvi Rhine2860753811Individual5% or Greater Indirect Ownership Interest6.5
Brandon L Thall1153734686IndividualCorporate Officer
Adam A Desmond0941613830IndividualCorporate Director

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Woods at Sparta of Journey LLC, the
Selectis Sparta LLC
40 residents
Other disclo…
3.00Ovr☆☆☆☆Stf☆☆☆☆Ins★★☆☆☆QM☆☆☆☆40

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
06/21/2021Woods at Sparta of Journey LLC, theSelectis Sparta LLCCrm of Sparta LLCBuyer
  1. 06/21/2021
    Crm of Sparta LLCSelectis Sparta LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Selectis Sparta LLC in FEC filings. Similar names may appear—confirm on FEC.gov.