Quality Life Services - Henry Clay, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 3173962180 Enrollment ID O20240423002223

Details

Linked facilitiesFacilities
1
StatesStates
1

24 parties: 13 organizations · 11 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Steven D Tack9436168788Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control33.34, 100
Mary S Tack-yurek8527075258Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control33.33
Susan E Tack-beardsley6709893431Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control33.33
Lawrence Nicholas3375964489IndividualOperational/Managerial Control; ADP of the SNF
Michael Markivich9931572799IndividualCorporate Officer; Managing Control - Governing Body100
Tack Family Ventures LLC8527191493Organization5% or Greater Direct Ownership Interest99
Sugar Creek Rest, Inc0547279895Organization5% or Greater Direct Ownership Interest1
Steven D Tack Irrevocable Trust1355611583Organization5% or Greater Indirect Ownership Interest33.34
Mary Susan TACK-YUREK Irrevocable Trust2264702497Organization5% or Greater Indirect Ownership Interest33.33
Susan TACK-BEARDSLEY Irrevocable Trust8628410651Organization5% or Greater Indirect Ownership Interest33.33
Bonnie Lopiccolo9739559857IndividualCorporate Director; ADP of the SNF
Barbara Wilhelm5991852436IndividualADP of the SNF
Christine Carter6709195415IndividualADP of the SNF
First National Bank8123244597OrganizationADP of the SNF
Henry Clay Villa LP2668505629OrganizationADP of the SNF
Holsinger Pc9234656836OrganizationADP of the SNF
Lisa Stafford8123545043IndividualADP of the SNF
Pnc Bank8325146129OrganizationADP of the SNF
Texas Capital Bank Na7315105012OrganizationADP of the SNF
Tonia M Kania0143590380IndividualADP of the SNF
Unknown party1557888153OrganizationADP of the SNF
Unknown party7416460332OrganizationADP of the SNF
Unknown party8224555826IndividualADP of the SNF
Unknown party9436662350OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Quality Life Services - Henry Clay
Quality Life Services - Henry Clay, LLC
72 residents
Other disclo…
3.50Ovr★★★★★Stf★★★☆☆Ins★★★★★QM★★★★72

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
03/01/2024Quality Life Services - Henry ClayQuality Life Services - Henry Clay, LLCHenry Clay Villa LPBuyer
  1. 03/01/2024
    Henry Clay Villa LPQuality Life Services - Henry Clay, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Quality Life Services - Henry Clay, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.