Beaumont I Enterprises LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 8426229154 Enrollment ID O20110928000855

Linked facilitiesFacilities

StatesStates

5 parties: 2 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Creative Solutions in Healthcare Inc	8224049598	Organization	Operational/Managerial Control	100
Gary R Blake	2062322787	Individual	5% or Greater Indirect Ownership Interest; Operational/Managerial Control	50
Malisa A Blake	1052322328	Individual	5% or Greater Indirect Ownership Interest; Operational/Managerial Control	50
Linda F Huggins	3678572914	Individual	W-2 Managing Employee	0
Honor X Enterprises, LLC	7315273851	Organization	5% or Greater Direct Ownership Interest	100

Creative Solutions in Healthcare IncPAC 8224049598
Organization100Operational/Managerial Control
Gary R BlakePAC 2062322787
Individual505% or Greater Indirect Ownership Interest; Operational/Managerial Control
Malisa A BlakePAC 1052322328
Individual505% or Greater Indirect Ownership Interest; Operational/Managerial Control
Linda F HugginsPAC 3678572914
Individual0W-2 Managing Employee
Honor X Enterprises, LLCPAC 7315273851
Organization1005% or Greater Direct Ownership Interest

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Beaumont Nursing and Rehabilitation Beaumont I Enterprises LLC 49 residents		Other disclo…	3.32	Ovr★★☆☆☆Stf★☆☆☆☆Ins★★☆☆☆QM★★★★★	49

Beaumont Nursing and Rehabilitation
Beaumont I Enterprises LLC
Other disclosed role49 res3.32 HPRD
Overall 2Staffing Staff 1

Related CMS associates

Name match to Beaumont I Enterprises LLC in FEC filings. Similar names may appear—confirm on FEC.gov.