Vancrest of Hicksville LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 1052729795 Enrollment ID O20210420000093

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 1 organizations · 9 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Vancrest Management Corp.0941261135OrganizationOperational/Managerial Control
Martha Bradford5597173237IndividualW-2 Managing Employee
Mark A White5991612590Individual5% or Greater Direct Ownership Interest; Corporate Officer45
Jon D Bagley1355258054Individual5% or Greater Direct Ownership Interest; Corporate Officer10
Mark L Myers8325010218Individual5% or Greater Direct Ownership Interest; Corporate Officer10
Nicolaus White1951718022Individual5% or Greater Direct Ownership Interest; Corporate Officer10
Carol L White3173430774Individual5% or Greater Direct Ownership Interest; Corporate Officer5
Jacob D Gehl1850361668Individual5% or Greater Direct Ownership Interest; Corporate Officer5
Mark Stuart Mccleery2264349968Individual5% or Greater Direct Ownership Interest; Corporate Officer5
Claire White3779990841Individual5% or Greater Direct Ownership Interest; Corporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Vancrest of Hicksville
Vancrest of Hicksville LLC
47 residents
Other disclo…
3.63Ovr★★★★★Stf★★★☆☆Ins★★★★QM★★★★★47
  • Vancrest of Hicksville LLC
    Other disclosed role47 res3.63 HPRD
    Overall 5Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
04/01/2021Vancrest of HicksvilleVancrest of Hicksville LLCHickory Creek Healthcare Foundation IncBuyer
  1. 04/01/2021
    Hickory Creek Healthcare Foundation IncVancrest of Hicksville LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Vancrest of Hicksville LLC in FEC filings. Similar names may appear—confirm on FEC.gov.