Graceville Health Center LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8729459615 Enrollment ID O20230201002300

Details

Linked facilitiesFacilities
1
StatesStates
1

8 parties: 4 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Jennifer Peterson3870980451IndividualW-2 Managing Employee100
Graceville Health Member, LLC6002271103Organization5% or Greater Direct Ownership Interest100
Benjamin Landa7810804515Individual5% or Greater Indirect Ownership Interest; Corporate Officer70, 100
Premier 4 Opco Partners LLC6103296819Organization5% or Greater Indirect Ownership Interest100
Flnho Capital Group LLC9234519232Organization5% or Greater Indirect Ownership Interest70
Mathew K Varghese5294131405Individual5% or Greater Indirect Ownership Interest10
Mayer Fischel0941295059Individual5% or Greater Indirect Ownership Interest10
ZBL-18 LLC3971972134Organization5% or Greater Indirect Ownership Interest10

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Graceville Rehabilitation by Harborview
Graceville Health Center LLC
143 residents
Other disclo…
3.63Ovr★★★★Stf★★☆☆☆Ins★★★★QM★★★★143

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
10/08/2022Graceville Health CenterGraceville Health Center LLCLP Graceville LLCBuyer
  1. 10/08/2022
    LP Graceville LLCGraceville Health Center LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Graceville Health Center LLC in FEC filings. Similar names may appear—confirm on FEC.gov.