Eventide Fargo LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 2567778343 Enrollment ID O20150825005171

Details

Linked facilitiesFacilities
1
StatesStates
1

17 parties: 2 organizations · 15 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Alyssa Hewson9032627872IndividualOperational/Managerial Control
Maycen Kirchner8123536968IndividualOperational/Managerial Control
Michael L Sand1456543438IndividualOperational/Managerial Control; ADP of the SNF
Ashton Whitmore8325556483IndividualOperational/Managerial Control
Darin G Ohe1759292089IndividualOperational/Managerial Control
Michelle Otteson7214445055IndividualOperational/Managerial Control
Blue Stone Therapy Inc1850707787OrganizationOperational/Managerial Control
Katherine Musielewicz0941718787IndividualOperational/Managerial Control
Jon M Riewer0547271447IndividualCorporate Officer; Operational/Managerial Control
Christopher Gilson9032558812IndividualOperational/Managerial Control; ADP of the SNF
Eventide7810908712Organization5% or Greater Direct Ownership Interest100
Brandon Lunak2264803485IndividualCorporate Officer; Corporate Director
Vikki Johnson9537530753IndividualCorporate Officer; Corporate Director
Terry Brandt6002287224IndividualCorporate Director
Patrick Gulbranson4789839671IndividualCorporate Director
Robert J Bye1759629777IndividualCorporate Director
Peter J Seljevold2163680604IndividualCorporate Director

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Eventide Fargo
Eventide Fargo LLC
94 residents
Other disclo…
4.66Ovr★★★☆☆Stf★★★★Ins★★★☆☆QM★★★★94
  • Eventide Fargo LLC
    Other disclosed role94 res4.66 HPRD
    Overall 3Staffing Staff 4
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Eventide Fargo LLC in FEC filings. Similar names may appear—confirm on FEC.gov.