Boonville No 1 Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 0547204190 Enrollment ID O20050614001101

Details

Linked facilitiesFacilities
1
StatesStates
1

17 parties: 9 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Donald B Bedell5092623827IndividualCorporate Officer; Corporate Director; Operational/Managerial Control100
Todd Anderson2860807260IndividualOperational/Managerial Control; ADP of the SNF
Kimberly Fizer8426595877IndividualOperational/Managerial Control; ADP of the SNF
Shawna Ballanger6507243235IndividualOperational/Managerial Control; ADP of the SNF
Sovereign Healthcare Group LLC2365827185OrganizationOperational/Managerial Control; ADP of the SNF
AGH1 LLC8123547528OrganizationOperational/Managerial Control; ADP of the SNF
Eric A Barnes1355442435IndividualOperational/Managerial Control; ADP of the SNF
Circle B Enterprises Holding Company Inc4183532914Organization5% or Greater Direct Ownership Interest100
Todd Beaird4789079096IndividualCorporate Officer; ADP of the SNF0
Dcb Real Estate Partnership LP6901921279OrganizationADP of the SNF
Forvis Mazars LLP7416866603OrganizationADP of the SNF
Fg LLC2668991068OrganizationADP of the SNF
MID States Inc2769901164OrganizationADP of the SNF
Lake View Development Properties LLC5890204168OrganizationADP of the SNF
Unknown party4284143561IndividualADP of the SNF
Unknown party7810406196IndividualADP of the SNF
Van De Ven LLC3577082973OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Lakeview Health Care & Rehabilitation Center
Boonville No 1 Inc
44 residents
Other disclo…
3.13Ovr★★☆☆☆Stf☆☆☆☆Ins★★★★QM☆☆☆☆44
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Boonville No 1 Inc in FEC filings. Similar names may appear—confirm on FEC.gov.