PECKHAM-MILLER, Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 1052406501 Enrollment ID O20070928000539

Details

Linked facilitiesFacilities
1
StatesStates
1

45 parties: 17 organizations · 28 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Midcap Finco LLC2961915988Organization5% or Greater Security Interest; Operational/Managerial Control100
Avamere Skilled Advisors LLC0244551661OrganizationOperational/Managerial Control; ADP of the SNF100
Yolanda Presley7113435876IndividualOperational/Managerial Control; ADP of the SNF
Misty Dawn Reid7911314299IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Cody Feakin7810239688IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Raven Loveday8820527500IndividualOperational/Managerial Control; ADP of the SNF
Tonia Hoskins6709272743IndividualOperational/Managerial Control; Managing Control - Governing Body
Andrew Simpson2769927185IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Mary Kofstad6800962614IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Lisa Kelly9739655531IndividualOperational/Managerial Control; ADP of the SNF
Stacia Cowgill0648746446IndividualOperational/Managerial Control; ADP of the SNF
Andrea Doepker8426558750IndividualOperational/Managerial Control; ADP of the SNF
Jolynn Munro7214445972IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Jennifer Dana2264940931IndividualOperational/Managerial Control; ADP of the SNF
Michele Powelson6305354069IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Christopher R Morris8921194143IndividualOperational/Managerial Control; ADP of the SNF
Avamere Health Services LLC3971635988OrganizationOperational/Managerial Control; ADP of the SNF
Amanda Sanders8224569199IndividualManaging Control - Governing Body
Glen Robert Cavallo3072421676IndividualManaging Control - Governing Body
Ike Okoli4789025479IndividualManaging Control - Governing Body
Justin Polson5496056632IndividualManaging Control - Governing Body; ADP of the SNF
Carrie Vanderzanden9830607597IndividualManaging Control - Governing Body; ADP of the SNF
Michelle Funderberg1153839816IndividualManaging Control - Governing Body; ADP of the SNF
Colby Strunk5395253058IndividualManaging Control - Governing Body; ADP of the SNF
Kevin Hill8325556087IndividualManaging Control - Governing Body; ADP of the SNF
Show all 45 parties (20 more)
NameOwner/control PACTypeRole(s)%
Midcap Finco LLC2961915988Organization5% or Greater Security Interest; Operational/Managerial Control100
Avamere Skilled Advisors LLC0244551661OrganizationOperational/Managerial Control; ADP of the SNF100
Yolanda Presley7113435876IndividualOperational/Managerial Control; ADP of the SNF
Misty Dawn Reid7911314299IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Cody Feakin7810239688IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Raven Loveday8820527500IndividualOperational/Managerial Control; ADP of the SNF
Tonia Hoskins6709272743IndividualOperational/Managerial Control; Managing Control - Governing Body
Andrew Simpson2769927185IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Mary Kofstad6800962614IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Lisa Kelly9739655531IndividualOperational/Managerial Control; ADP of the SNF
Stacia Cowgill0648746446IndividualOperational/Managerial Control; ADP of the SNF
Andrea Doepker8426558750IndividualOperational/Managerial Control; ADP of the SNF
Jolynn Munro7214445972IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Jennifer Dana2264940931IndividualOperational/Managerial Control; ADP of the SNF
Michele Powelson6305354069IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Christopher R Morris8921194143IndividualOperational/Managerial Control; ADP of the SNF
Avamere Health Services LLC3971635988OrganizationOperational/Managerial Control; ADP of the SNF
Amanda Sanders8224569199IndividualManaging Control - Governing Body
Glen Robert Cavallo3072421676IndividualManaging Control - Governing Body
Ike Okoli4789025479IndividualManaging Control - Governing Body
Justin Polson5496056632IndividualManaging Control - Governing Body; ADP of the SNF
Carrie Vanderzanden9830607597IndividualManaging Control - Governing Body; ADP of the SNF
Michelle Funderberg1153839816IndividualManaging Control - Governing Body; ADP of the SNF
Colby Strunk5395253058IndividualManaging Control - Governing Body; ADP of the SNF
Kevin Hill8325556087IndividualManaging Control - Governing Body; ADP of the SNF
Todd Inskeep4789192444IndividualManaging Control - Governing Body; ADP of the SNF
Karl Rickard Miller Jr Revocable Trust3678081346Organization5% or Greater Direct Ownership Interest100
Karl Rickard Miller1355250598Individual5% or Greater Direct Ownership Interest
Avamere Group LLC6507865482Organization5% or Greater Indirect Ownership Interest100
Unknown party6507332384OrganizationADP of the SNF
Unknown party0143796920OrganizationADP of the SNF
Unknown party1153897939OrganizationADP of the SNF
Unknown party2062988843OrganizationADP of the SNF
Unknown party3971079757OrganizationADP of the SNF
Unknown party4789150566OrganizationADP of the SNF
Unknown party9335615111OrganizationADP of the SNF
Unknown party8921537606OrganizationADP of the SNF
Cesce Wilson2769958552IndividualADP of the SNF
Kim Games6103326442IndividualADP of the SNF
Julie Davis6709386030IndividualADP of the SNF
Carolyn Staples3476053711IndividualADP of the SNF
Unknown party4880160662OrganizationADP of the SNF
Unknown party6608342480OrganizationADP of the SNF
Unknown party8325514102OrganizationADP of the SNF
Unknown party1951877737OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Avamere Rehabilitation Of Hillsboro
PECKHAM-MILLER, Inc
70 residents
Other disclo…
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Related CMS associates

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Name match to PECKHAM-MILLER, Inc in FEC filings. Similar names may appear—confirm on FEC.gov.