Ebenezer Ridges

Enrollment entity
Provider / enrollment organization Enrollment PAC 1254385032 Enrollment ID O20050303001030

Details

Linked facilitiesFacilities
1
StatesStates
1

17 parties: 2 organizations · 15 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Ebenezer Management Services Inc5092817221Organization5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF0
Jackson Bires0749794147IndividualOperational/Managerial Control; ADP of the SNF
Brittany Bell9931538220IndividualOperational/Managerial Control
Yasser Chebli3173832359IndividualOperational/Managerial Control; ADP of the SNF
Gayle Kvenvold8921478512IndividualCorporate Director; Managing Control - Governing Body
Margaret Milius6305350703IndividualCorporate Director; Managing Control - Governing Body
Mark Landreville7012820830IndividualCorporate Director; Managing Control - Governing Body
Kenneth Piper7214399088IndividualCorporate Director; Managing Control - Governing Body
Robert Walker6406218270IndividualCorporate Director; Managing Control - Governing Body
Kim Faust8224423587IndividualCorporate Director; Managing Control - Governing Body
Susan Carlson-weinberg1052641685IndividualCorporate Director; Managing Control - Governing Body
Carolyn Jacobson3678818838IndividualCorporate Director; Managing Control - Governing Body
Scott Wordelman5193637361IndividualCorporate Director; Managing Control - Governing Body
James Hereford4688810559IndividualCorporate Director; Managing Control - Governing Body
Ebenezer Society8527238955Organization5% or Greater Indirect Ownership Interest100
Brett Anderson3971940412IndividualCorporate Officer
Todd Willett4688993447IndividualCorporate Officer

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Ebenezer Ridges Geriatric Care Center
Ebenezer Ridges
104 residents
Other disclo…
5.17Ovr★★★★Stf★★★★Ins★★★★QM★★☆☆☆104
Related CMS associates

FEC political contributions FEC contributions Beta

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