Wisteria Gardens, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9133209323 Enrollment ID O20071228000437

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 6 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Ashley Management, LLC0941380133OrganizationOperational/Managerial Control; ADP of the SNF100
Michael H Albert6709881097IndividualContracted Managing Employee; ADP of the SNF
William David Hill7810981800Individual5% or Greater Indirect Ownership Interest; W-2 Managing Employee; ADP of the SNF50.1, 80
Ashley Healthcare, Inc4082936505Organization5% or Greater Direct Ownership Interest; ADP of the SNF50.1
Kickapoo Properties LLC5193252526Organization5% or Greater Indirect Ownership Interest12.48
M-D Transportation LLC6002343431Organization5% or Greater Indirect Ownership Interest12.48
Signature Holdings LLC3375070709Organization5% or Greater Indirect Ownership Interest12.48
Town Creek Company LLC6204084858Organization5% or Greater Indirect Ownership Interest12.48
Ben Walker1759461940Individual5% or Greater Indirect Ownership Interest12.47
Charles Galloway7113007303Individual5% or Greater Indirect Ownership Interest12.47
David Ashby Mccay8628988243Individual5% or Greater Indirect Ownership Interest12.47
John L Maxey4486734670Individual5% or Greater Indirect Ownership Interest12.47
Rebecca H Shelton2264581016IndividualCorporate Officer; Other0

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Wisteria Gardens
Wisteria Gardens, LLC
45 residents
Other disclo…
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  • Wisteria Gardens, LLC
    Other disclosed role45 res
    Overall 3Staffing Staff 1
Related CMS associates

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