Quitman County Health & Rehab LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 7911204680 Enrollment ID O20160323001298

Linked facilitiesFacilities

StatesStates

14 parties: 4 organizations · 10 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Long Term Care Management LLC	5294894838	Organization	Operational/Managerial Control; ADP of the SNF	100
Robert Waller	5698745420	Individual	Contracted Managing Employee; ADP of the SNF	0
Ashley Campbell	7911372875	Individual	W-2 Managing Employee; ADP of the SNF	75
Garry H Pace	9335133321	Individual	5% or Greater Direct Ownership Interest; Corporate Officer	22.5, 0
Medikey, LLC	1557410305	Organization	5% or Greater Direct Ownership Interest	22.5
Miles Healthcare, LLC	2365444304	Organization	5% or Greater Direct Ownership Interest	22.5
Steven L Delaney	6204820293	Individual	5% or Greater Direct Ownership Interest; Corporate Officer	22.5, 0
Condado Health LLC	3274830955	Organization	5% or Greater Direct Ownership Interest	10
Harold M Beebe	2567456551	Individual	Corporate Officer; Other	0, 11.48
Rebecca H Shelton	2264581016	Individual	Corporate Officer; Other	0
Richard E Keyes	1850303868	Individual	Other	22.5
Scherrie Beebe	2466759154	Individual	Other	11.03
Marjorie Self	5193022887	Individual	Other	0
Peyton Self	0547567232	Individual	Other	0

Long Term Care Management LLCPAC 5294894838
Organization100Operational/Managerial Control; ADP of the SNF
Robert WallerPAC 5698745420
Individual0Contracted Managing Employee; ADP of the SNF
Ashley CampbellPAC 7911372875
Individual75W-2 Managing Employee; ADP of the SNF
Garry H PacePAC 9335133321
Individual22.5, 05% or Greater Direct Ownership Interest; Corporate Officer
Medikey, LLCPAC 1557410305
Organization22.55% or Greater Direct Ownership Interest
Miles Healthcare, LLCPAC 2365444304
Organization22.55% or Greater Direct Ownership Interest
Steven L DelaneyPAC 6204820293
Individual22.5, 05% or Greater Direct Ownership Interest; Corporate Officer
Condado Health LLCPAC 3274830955
Organization105% or Greater Direct Ownership Interest
Harold M BeebePAC 2567456551
Individual0, 11.48Corporate Officer; Other
Rebecca H SheltonPAC 2264581016
Individual0Corporate Officer; Other
Richard E KeyesPAC 1850303868
Individual22.5Other
Scherrie BeebePAC 2466759154
Individual11.03Other
Marjorie SelfPAC 5193022887
Individual0Other
Peyton SelfPAC 0547567232
Individual0Other

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Quitman County Health & Rehab LLC 46 residents		Other disclo…	4.62	Ovr★★★★☆Stf★★★★☆Ins★★★★☆QM★★★★☆	46

Quitman County Health & Rehab LLC
Other disclosed role46 res4.62 HPRD
Overall 4Staffing Staff 4

Related CMS associates

Name match to Quitman County Health & Rehab LLC in FEC filings. Similar names may appear—confirm on FEC.gov.