County of Indiana

Enrollment entity

Provider / enrollment organization Enrollment PAC 1658413901 Enrollment ID O20100125000375

Linked facilitiesFacilities

StatesStates

5 parties: 1 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Affinity Health Services	4082759352	Organization	Operational/Managerial Control	100
Kimberly Chi	9739556341	Individual	Contracted Managing Employee	100
Robert Michael Keith	8729473798	Individual	Corporate Officer	33.3
Robin Gorman	1557738168	Individual	Corporate Officer	33.3
Sherene Hess	1153617451	Individual	Corporate Officer	33

Affinity Health ServicesPAC 4082759352
Organization100Operational/Managerial Control
Kimberly ChiPAC 9739556341
Individual100Contracted Managing Employee
Robert Michael KeithPAC 8729473798
Individual33.3Corporate Officer
Robin GormanPAC 1557738168
Individual33.3Corporate Officer
Sherene HessPAC 1153617451
Individual33Corporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Communities at Indian Haven, County of Indiana 68 residents		Other disclo…	3.75	Ovr★★★☆☆Stf★★★★☆Ins★★☆☆☆QM★★★★★	68

Communities at Indian Haven,
County of Indiana
Other disclosed role68 res3.75 HPRD
Overall 3Staffing Staff 4

Related CMS associates

Name match to County of Indiana in FEC filings. Similar names may appear—confirm on FEC.gov.