Vernon Advent Christian Home, Inc.

Enrollment entity

Provider / enrollment organization Enrollment PAC 0446252944 Enrollment ID O20070213000560

Linked facilitiesFacilities

StatesStates

6 parties: 0 organizations · 6 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
M Bradford Ellis	4183727506	Individual	Corporate Director; Operational/Managerial Control; ADP of the SNF	75
Corby Mousseau	2264801927	Individual	Corporate Director; Operational/Managerial Control; ADP of the SNF	0
Kari Dickey	2769669381	Individual	Operational/Managerial Control; ADP of the SNF	—
Judy Jewitt	4789993932	Individual	Corporate Director	100
Alfred Goodwin	4880903038	Individual	Corporate Director	100
Bruce Burks	9234448481	Individual	Corporate Director	100

M Bradford EllisPAC 4183727506
Individual75Corporate Director; Operational/Managerial Control
Corby MousseauPAC 2264801927
Individual0Corporate Director; Operational/Managerial Control
Kari DickeyPAC 2769669381
IndividualOperational/Managerial Control; ADP of the SNF
Judy JewittPAC 4789993932
Individual100Corporate Director
Alfred GoodwinPAC 4880903038
Individual100Corporate Director
Bruce BurksPAC 9234448481
Individual100Corporate Director

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Vernon Green Nursing Home Vernon Advent Christian Home, Inc. 53 residents		Other disclo…	4.44	Ovr★★★☆☆Stf★★★★★Ins★★☆☆☆QM★★☆☆☆	53

Vernon Green Nursing Home
Vernon Advent Christian Home, Inc.
Other disclosed role53 res4.44 HPRD
Overall 3Staffing Staff 5

Related CMS associates

Name match to Vernon Advent Christian Home, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.