Avera Granite Falls

Enrollment entity
Provider / enrollment organization Enrollment PAC 1456784560 Enrollment ID O20191204000409

Details

Linked facilitiesFacilities
1
StatesStates
1

14 parties: 3 organizations · 11 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Darrell L Carter8729122858IndividualOperational/Managerial Control; ADP of the SNF
Thomas J Kooiman5698685006IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Daniel Barber2163912940IndividualManaging Control - Governing Body
Lisa Streich1254821036IndividualManaging Control - Governing Body
Lucille F Welbig3870639917IndividualManaging Control - Governing Body
Mark A Jensen8325085384IndividualManaging Control - Governing Body
Rosa E Rios Avendano6608136908IndividualManaging Control - Governing Body
Lavonne Annette Koenen5496913360IndividualManaging Control - Governing Body
Avera Marshall5799695227Organization5% or Greater Direct Ownership Interest100
Avera Health8224945860OrganizationIndirect Ownership Interest100
Debra Ann Streier4082939368IndividualCorporate Officer
Christy Ann Coudron6103246277IndividualCorporate Officer
Julie Lautt6709989338IndividualCorporate Officer; ADP of the SNF
Unknown party1153803119OrganizationADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Avera Granite Falls Care Center
Avera Granite Falls
46 residents
Other disclo…
3.81Ovr★★★☆☆Stf★★★★★Ins★★☆☆☆QM★★★★46

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
01/01/2020Avera Granite Falls Care CenterAvera Granite FallsGranite Falls Municipal Hospital and ManorBuyer
  1. 01/01/2020
    Granite Falls Municipal Hospital and ManorAvera Granite Falls
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Avera Granite Falls in FEC filings. Similar names may appear—confirm on FEC.gov.