CLC of Dyersburg, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 8325064702 Enrollment ID O20051017000057

Linked facilitiesFacilities

StatesStates

4 parties: 2 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Community Eldercare Services, LLC	2668569724	Organization	Operational/Managerial Control	—
Lori A Chambers	9133376825	Individual	W-2 Managing Employee	99
Douglas Wright	5890602866	Individual	5% or Greater Direct Ownership Interest	100
Community Living Centers, LLC	1759478811	Organization	5% or Greater Direct Ownership Interest	—

Community Eldercare Services, LLCPAC 2668569724
OrganizationOperational/Managerial Control
Lori A ChambersPAC 9133376825
Individual99W-2 Managing Employee
Douglas WrightPAC 5890602866
Individual1005% or Greater Direct Ownership Interest
Community Living Centers, LLCPAC 1759478811
Organization5% or Greater Direct Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Oakwood Community Living Center CLC of Dyersburg, LLC 39 residents		Other disclo…	3.42	Ovr★★★☆☆Stf★★★☆☆Ins★★★★☆QM★☆☆☆☆	39

Oakwood Community Living Center
CLC of Dyersburg, LLC
Other disclosed role39 res3.42 HPRD
Overall 3Staffing Staff 3

Related CMS associates

Name match to CLC of Dyersburg, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.