Ccrc of Ames LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8729393806 Enrollment ID O20150819006326

Details

Linked facilitiesFacilities
1
StatesStates
1

22 parties: 13 organizations · 9 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Pivotal Health Care LLC3375718075OrganizationOperational/Managerial Control; ADP of the SNF100
Scott E Gulledge3870402357IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest75, 3.32
Scenic Development LLC7810162518OrganizationOperational/Managerial Control; Direct Ownership Interest23.26
Gilbert R Wood6800704438IndividualOperational/Managerial Control; Indirect Ownership Interest2.37
Jordan R Anderson7618358771IndividualOperational/Managerial Control; Indirect Ownership Interest1.9
Travis S Gulledge6901338334IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest0.94
Grant D Doolittle0345341434IndividualOperational/Managerial Control; ADP of the SNF
Kayla S Zellmer3072908359IndividualOperational/Managerial Control; ADP of the SNF
Scenic Holdings LLC4082951249OrganizationDirect Ownership Interest76.74
Wsg LLC5991972002OrganizationIndirect Ownership Interest17.45
Poky - 5R LLC6002081700OrganizationIndirect Ownership Interest12.37
Steven M Howard0648351148IndividualIndirect Ownership Interest11.26
Cadet Investment LLC4284809989OrganizationIndirect Ownership Interest11.11
Marlene A Anderson5991613523IndividualIndirect Ownership Interest6.46
Wayne C Anderson3173431707IndividualIndirect Ownership Interest6.46
5 R Cattle, LLC5698287092OrganizationIndirect Ownership Interest6.19
Lmray, LLC6507378908OrganizationIndirect Ownership Interest6.19
3RK, LLC7315459716OrganizationIndirect Ownership Interest6.17
Unknown party8224540620OrganizationADP of the SNF
Unknown party9133631534OrganizationADP of the SNF
Mcfarland Clinic Pc1254244239OrganizationADP of the SNF
Summit Care, LLC7315073954OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Northridge Village
Ccrc of Ames LLC
37 residents
Other disclo…
4.37Ovr★★★★★Stf★★★★★Ins★★★★QM★★★★37
  • Ccrc of Ames LLC
    Other disclosed role37 res4.37 HPRD
    Overall 5Staffing Staff 5
Related CMS associates

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Name match to Ccrc of Ames LLC in FEC filings. Similar names may appear—confirm on FEC.gov.