Ebenezer Lakes Assisted Living

Enrollment entity
Provider / enrollment organization Enrollment PAC 1052551272 Enrollment ID O20140702000102

Details

Linked facilitiesFacilities
1
StatesStates
1

17 parties: 2 organizations · 15 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Ebenezer Management Services Inc5092817221OrganizationOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest0
Kayla Luraas8123508231IndividualOperational/Managerial Control; ADP of the SNF
Yasser Chebli3173832359IndividualOperational/Managerial Control; ADP of the SNF
Brittany Bell9931538220IndividualOperational/Managerial Control
Ebenezer Society8527238955Organization5% or Greater Direct Ownership Interest; ADP of the SNF; Direct Ownership Interest100
Brett Anderson3971940412IndividualCorporate Officer
Todd Willett4688993447IndividualCorporate Officer
Gayle Kvenvold8921478512IndividualCorporate Director
Margaret Milius6305350703IndividualCorporate Director
Mark Landreville7012820830IndividualCorporate Director
Kenneth Piper7214399088IndividualCorporate Director
Robert Walker6406218270IndividualCorporate Director
Kim Faust8224423587IndividualCorporate Director
Susan Carlson-weinberg1052641685IndividualCorporate Director
Carolyn Jacobson3678818838IndividualCorporate Director
Scott Wordelman5193637361IndividualCorporate Director
James Hereford4688810559IndividualCorporate Director

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Meadows on Fairview
Ebenezer Lakes Assisted Living
13 residents
Other disclo…
Ovr★★★★Stf☆☆☆☆Ins★★★★★QM★★★★13
  • Ebenezer Lakes Assisted Living
    Other disclosed role13 res
    Overall 4Staffing Staff 1
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Ebenezer Lakes Assisted Living in FEC filings. Similar names may appear—confirm on FEC.gov.