Annandale Care Center

Enrollment entity

Provider / enrollment organization Enrollment PAC 0446418180 Enrollment ID O20120227000180

Linked facilitiesFacilities

StatesStates

8 parties: 0 organizations · 8 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Elsa Niska	2769912369	Individual	Corporate Officer; Operational/Managerial Control; ADP of the SNF	0
Douglas Watkins	6002956331	Individual	Operational/Managerial Control; ADP of the SNF	—
Mark Miller	6800054545	Individual	Corporate Officer	34
Angela Manuel	4587194188	Individual	Corporate Officer	33
Linda Dircks	5496839433	Individual	Corporate Officer	33
Sheldon Brown	3678003274	Individual	Corporate Director	0
Katherine Gruys	7618135351	Individual	Corporate Director	0
Roger Millner	2264690908	Individual	Corporate Director	0

Elsa NiskaPAC 2769912369
Individual0Corporate Officer; Operational/Managerial Control
Douglas WatkinsPAC 6002956331
IndividualOperational/Managerial Control; ADP of the SNF
Mark MillerPAC 6800054545
Individual34Corporate Officer
Angela ManuelPAC 4587194188
Individual33Corporate Officer
Linda DircksPAC 5496839433
Individual33Corporate Officer
Sheldon BrownPAC 3678003274
Individual0Corporate Director
Katherine GruysPAC 7618135351
Individual0Corporate Director
Roger MillnerPAC 2264690908
Individual0Corporate Director

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Annandale Care Center Inc Annandale Care Center 39 residents		Other disclo…	4.41	Ovr★★★★★Stf★★★★☆Ins★★★★★QM★★★★☆	39

Annandale Care Center Inc
Annandale Care Center
Other disclosed role39 res4.41 HPRD
Overall 5Staffing Staff 4

Related CMS associates

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