Hanover Care Center LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7517362999 Enrollment ID O20210823003337

Details

Linked facilitiesFacilities
1
StatesStates
1

19 parties: 18 organizations · 1 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Rybst Central Manager LLC8426453101OrganizationOperational/Managerial Control100
Andrea Holmes9234268673IndividualCorporate Director; W-2 Managing Employee
Hanover Holdings I LLC3971995689Organization5% or Greater Direct Ownership Interest100
Pivotal Central LLC9436554102Organization5% or Greater Indirect Ownership Interest100
Central Bay LLC4981009651Organization5% or Greater Indirect Ownership Interest75
Mrcz Central LLC8921403692Organization5% or Greater Indirect Ownership Interest25
Golden 2017 LLC2668877333Organization5% or Greater Indirect Ownership Interest23.75
Matt 2002 LLC5597160267Organization5% or Greater Indirect Ownership Interest23.75
Nathan 5604 & Family LLC0244635910Organization5% or Greater Indirect Ownership Interest23.75
Edward 1998 Family Grantor Trust8224466040Organization5% or Greater Indirect Ownership Interest22.56
Golden 2017 Family Grantor Trust3577940782Organization5% or Greater Indirect Ownership Interest22.56
Matt 2002 Family Grantor Trust1759768963Organization5% or Greater Indirect Ownership Interest22.56
Saul 2012 Family Grantor Trust4688002405Organization5% or Greater Indirect Ownership Interest22.56
Nathan 5604 LLC0143625814Organization5% or Greater Indirect Ownership Interest22.49
Charles 1994 Family Grantor Trust1951739770Organization5% or Greater Indirect Ownership Interest21.37
Nathan 5604 Family Grantor Trust8022495233Organization5% or Greater Indirect Ownership Interest21.37
Al 2003 Family Trust7911302682Organization5% or Greater Indirect Ownership Interest10
Sas 1998 Family Trust1557766227Organization5% or Greater Indirect Ownership Interest10
Ak 2003 Family Trust4981009669Organization5% or Greater Indirect Ownership Interest5

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Hanover Health and Rehabilitation Center
Hanover Care Center LLC
116 residents
Other disclo…
3.36Ovr★★☆☆☆Stf☆☆☆☆Ins★★★☆☆QM★★★★116

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
05/28/2021Hanover Health and Rehabilitation CenterHanover Care Center LLCMaple Leaf of Hanover County Health Care, Inc.Buyer
  1. 05/28/2021
    Maple Leaf of Hanover County Health Care, Inc.Hanover Care Center LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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