Childrens Recovery Center 1 LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 3971888108 Enrollment ID O20180928001733

Linked facilitiesFacilities

StatesStates

3 parties: 1 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Innovations Health Systems LLC	9335369529	Organization	5% or Greater Direct Ownership Interest; Operational/Managerial Control	100
Kenneth S Mcguire	2961543715	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; Corporate Director	50, 100
Dan T Niccum	1153541347	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; Corporate Director	50

Innovations Health Systems LLCPAC 9335369529
Organization1005% or Greater Direct Ownership Interest; Operational/Managerial Control
Kenneth S McguirePAC 2961543715
Individual50, 1005% or Greater Direct Ownership Interest; Corporate Officer
Dan T NiccumPAC 1153541347
Individual505% or Greater Direct Ownership Interest; Corporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Childrens Hc Org No Ca -Pediatric Hospital D/P SNF Childrens Recovery Center 1 LLC 27 residents		Other disclo…	—	Ovr★★★★★Stf—Ins★★★★★QM★★★★★	27

Childrens Hc Org No Ca -Pediatric Hospital D/P SNF
Childrens Recovery Center 1 LLC
Other disclosed role27 res
Overall 5

Related CMS associates

Name match to Childrens Recovery Center 1 LLC in FEC filings. Similar names may appear—confirm on FEC.gov.