Evergreen Woods Retirement LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9032490784 Enrollment ID O20170111002442

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 5 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Senior Living Commuities LLC6800801002OrganizationOperational/Managerial Control; Direct Ownership Interest100
Benjamin M. Thompson1355677964IndividualOperational/Managerial Control; Indirect Ownership Interest37.5
Kimberly Glerum0345663753IndividualOperational/Managerial Control; ADP of the SNF
Maxwell Group, Inc.9537689971OrganizationOperational/Managerial Control; ADP of the SNF
Amanda Welch0648595124IndividualOperational/Managerial Control; ADP of the SNF
Donald Thompson4981619186Individual5% or Greater Indirect Ownership Interest; Managing Control - Governing Body; Indirect Ownership Interest50
Brenda U. Thompson 2020 Irrevocable Trust Dated December 30, 20206608393921OrganizationIndirect Ownership Interest25
Brenda U. Thompson 2020 Irrevocable Trust Dated December 30, 20208224555875OrganizationIndirect Ownership Interest25
Joshua E. Thompson2264768878IndividualIndirect Ownership Interest25
NHI-REIT of Evergreen LLC9830470582OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Evergreen Woods
Evergreen Woods Retirement LLC
41 residents
Other disclo…
5.40Ovr★★★★★Stf★★★★★Ins★★★★QM★★★★41
  • Evergreen Woods Retirement LLC
    Other disclosed role41 res5.40 HPRD
    Overall 5Staffing Staff 5
Related CMS associates

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Name match to Evergreen Woods Retirement LLC in FEC filings. Similar names may appear—confirm on FEC.gov.