Grand Lake Operations LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 3577992296 Enrollment ID O20200401001070

Details

Linked facilitiesFacilities
1
StatesStates
1

6 parties: 1 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Nita J. Goecke6709215429IndividualW-2 Managing Employee; Operational/Managerial Control
Mark A White5991612590Individual5% or Greater Direct Ownership Interest; Corporate Officer33
Jon D Bagley1355258054Individual5% or Greater Direct Ownership Interest; Corporate Officer28.5
Joint Township District Memorial Hospital3870491590Organization5% or Greater Direct Ownership Interest25
Mark L Myers8325010218Individual5% or Greater Direct Ownership Interest; Corporate Officer9
Mark Stuart Mccleery2264349968IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Vancrest of St MARY'S
Grand Lake Operations LLC
43 residents
Other disclo…
3.84Ovr★★★★★Stf★★★☆☆Ins★★★★★QM★★★★★43
  • Grand Lake Operations LLC
    Other disclosed role43 res3.84 HPRD
    Overall 5Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
10/16/2019Vancrest of St MARY'SGrand Lake Operations LLCVlop LLCBuyer
  1. 10/16/2019
    Vlop LLCGrand Lake Operations LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Grand Lake Operations LLC in FEC filings. Similar names may appear—confirm on FEC.gov.