Four Seasons Nursing Center LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7911171475 Enrollment ID O20111117000768

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 5 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Ciena Healthcare Management Inc0244147999OrganizationOperational/Managerial Control; ADP of the SNF100
Mohammad a Qazi Living Trust Dated 09/26/974486893237Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control100
Mohammad A. Qazi3870400526Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Managing Control - Governing Body100
Scott P Shisler5799711560IndividualOperational/Managerial Control; ADP of the SNF
Tina Chambers6002297637IndividualOperational/Managerial Control; ADP of the SNF
Anis Khan2062329717IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Unknown party0840714341OrganizationADP of the SNF
Unknown party1759805252OrganizationADP of the SNF
Unknown party2668996174IndividualADP of the SNF
Unknown party9931623444IndividualADP of the SNF
Unknown party3577087089IndividualADP of the SNF
Unknown party4486178993IndividualADP of the SNF
Unknown party9931623436OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Courtney Manor
Four Seasons Nursing Center LLC
82 residents
Other disclo…
2.69Ovr☆☆☆☆Stf☆☆☆☆Ins★★☆☆☆QM★★★★82
  • Four Seasons Nursing Center LLC
    Other disclosed role82 res2.69 HPRD
    Overall 1Staffing Staff 1
Related CMS associates

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Name match to Four Seasons Nursing Center LLC in FEC filings. Similar names may appear—confirm on FEC.gov.