Hcf of Fairview, Inc.

Enrollment entity
Provider / enrollment organization Enrollment PAC 0244148997 Enrollment ID O20100204000495

Details

Linked facilitiesFacilities
1
StatesStates
1

20 parties: 15 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Hcf Management, Inc.0840377578OrganizationOperational/Managerial Control
Sholin J Montgomery8729137120IndividualCorporate Director; W-2 Managing Employee
Kerri A Romes2860732393IndividualCorporate Officer; Corporate Director; W-2 Managing Employee
Celeste M Klay3072812940IndividualCorporate Officer; W-2 Managing Employee
Chad M Unverferth0840108692IndividualCorporate Officer; Corporate Director; W-2 Managing Employee
Anthony D Shaw6406033067IndividualCorporate Officer; W-2 Managing Employee
Hcf Operations, Inc0840108684Organization5% or Greater Direct Ownership Interest
Hcf, Inc9931017779Organization5% or Greater Indirect Ownership Interest100
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kendra M. U3971995408Organization5% or Greater Indirect Ownership Interest7.06
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kerri a. Ro0244622777Organization5% or Greater Indirect Ownership Interest7.06
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kevan R. Un4880086313Organization5% or Greater Indirect Ownership Interest7.06
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kristen S.1153713680Organization5% or Greater Indirect Ownership Interest7.06
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kyle J. Unv2062804594Organization5% or Greater Indirect Ownership Interest7.06
Chad M. Unverferth 12-14-11 Irrv Grantor Tr3274794961Organization5% or Greater Indirect Ownership Interest5.89
David V. Unverferth 12-14-11 Irrv Grantor Tr2365603057Organization5% or Greater Indirect Ownership Interest5.89
Jeffrey L. Unverferth 12-14-11 Irrv Grantor Tr0547421232Organization5% or Greater Indirect Ownership Interest5.89
Joseph L. Unverferth 12-15-11 Irrv Grantor Tr5193986883Organization5% or Greater Indirect Ownership Interest5.89
Lawrence G. Unverferth 12-13-11 Irrv Grantor Tr1456512144Organization5% or Greater Indirect Ownership Interest5.89
R. Steven Unverferth 12-14-11 Irrv Grantor Tr3375704067Organization5% or Greater Indirect Ownership Interest5.89
Joann C. Unverferth 12-29-04 Revocable Trust0244639177Organization5% or Greater Indirect Ownership Interest5.39

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Fairview Manor
Hcf of Fairview, Inc.
115 residents
Other disclo…
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  • Hcf of Fairview, Inc.
    Other disclosed role115 res3.16 HPRD
    Overall 1Staffing Staff 1
Related CMS associates

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Name match to Hcf of Fairview, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.