West Carroll Care Center Inc

Enrollment entity

Provider / enrollment organization Enrollment PAC 9133304116 Enrollment ID O20110506000680

Linked facilitiesFacilities

StatesStates

4 parties: 0 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Fakhre Fakhre	8325170020	Individual	Contracted Managing Employee; ADP of the SNF	100
Kathy Bower	9133403702	Individual	W-2 Managing Employee; ADP of the SNF	100
Raymond Morris	7719979244	Individual	5% or Greater Direct Ownership Interest; Direct Ownership Interest	100
Dewana F Little	2466444922	Individual	Corporate Officer; ADP of the SNF	100

Fakhre FakhrePAC 8325170020
Individual100Contracted Managing Employee; ADP of the SNF
Kathy BowerPAC 9133403702
Individual100W-2 Managing Employee; ADP of the SNF
Raymond MorrisPAC 7719979244
Individual1005% or Greater Direct Ownership Interest; Direct Ownership Interest
Dewana F LittlePAC 2466444922
Individual100Corporate Officer; ADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
West Carroll Care Center, Inc West Carroll Care Center Inc 74 residents		Other disclo…	3.51	Ovr★★☆☆☆Stf★★★☆☆Ins★★☆☆☆QM★★☆☆☆	74

West Carroll Care Center, Inc
West Carroll Care Center Inc
Other disclosed role74 res3.51 HPRD
Overall 2Staffing Staff 3

Related CMS associates

Name match to West Carroll Care Center Inc in FEC filings. Similar names may appear—confirm on FEC.gov.