Heritage Village Nursing Center, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 8224135124 Enrollment ID O20070529000234

Linked facilitiesFacilities

StatesStates

3 parties: 0 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Charles Simmons	5597675157	Individual	Corporate Officer; W-2 Managing Employee	0
Arbret June Adkins	1052221611	Individual	5% or Greater Direct Ownership Interest	50
Gerrol Adkins	2961312525	Individual	5% or Greater Direct Ownership Interest	50

Charles SimmonsPAC 5597675157
Individual0Corporate Officer; W-2 Managing Employee
Arbret June AdkinsPAC 1052221611
Individual505% or Greater Direct Ownership Interest
Gerrol AdkinsPAC 2961312525
Individual505% or Greater Direct Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Heartway at Heritage Village Health and Rehab Heritage Village Nursing Center, LLC 80 residents		Other disclo…	3.62	Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM★★☆☆☆	80

Heartway at Heritage Village Health and Rehab
Heritage Village Nursing Center, LLC
Other disclosed role80 res3.62 HPRD
Overall 3Staffing Staff 3

Related CMS associates

Name match to Heritage Village Nursing Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.