Clackamas Rehabilitation, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4082719679 Enrollment ID O20070410000111

Details

Linked facilitiesFacilities
1
StatesStates
1

46 parties: 17 organizations · 29 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Avamere Health Services LLC3971635988OrganizationOperational/Managerial Control; ADP of the SNF100
Avamere Skilled Advisors LLC0244551661OrganizationOperational/Managerial Control; ADP of the SNF100
Yolanda Presley7113435876IndividualOperational/Managerial Control; ADP of the SNF
Misty Dawn Reid7911314299IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Cody Feakin7810239688IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Tonia Hoskins6709272743IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Ben Hamm5496237075IndividualOperational/Managerial Control; ADP of the SNF
Andrew Simpson2769927185IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Mary Kofstad6800962614IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Nicole A Angerhofer0749762680IndividualOperational/Managerial Control; ADP of the SNF
Andrea Doepker8426558750IndividualOperational/Managerial Control; ADP of the SNF
Jolynn Munro7214445972IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Jennifer Dana2264940931IndividualOperational/Managerial Control; ADP of the SNF
Nita Vellody9032305461IndividualOperational/Managerial Control; ADP of the SNF
Michelle Garrett6800378498IndividualOperational/Managerial Control; ADP of the SNF
Michele Powelson6305354069IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Midcap Finco LLC2961915988Organization5% or Greater Security Interest; Operational/Managerial Control
Damien Haskins9335572080IndividualManaging Control - Governing Body; ADP of the SNF
Amanda Sanders8224569199IndividualManaging Control - Governing Body
Glen Robert Cavallo3072421676IndividualManaging Control - Governing Body
Ike Okoli4789025479IndividualManaging Control - Governing Body
Justin Polson5496056632IndividualManaging Control - Governing Body; ADP of the SNF
Carrie Vanderzanden9830607597IndividualManaging Control - Governing Body; ADP of the SNF
Michelle Funderberg1153839816IndividualManaging Control - Governing Body; ADP of the SNF
Colby Strunk5395253058IndividualManaging Control - Governing Body; ADP of the SNF
Show all 46 parties (21 more)
NameOwner/control PACTypeRole(s)%
Avamere Health Services LLC3971635988OrganizationOperational/Managerial Control; ADP of the SNF100
Avamere Skilled Advisors LLC0244551661OrganizationOperational/Managerial Control; ADP of the SNF100
Yolanda Presley7113435876IndividualOperational/Managerial Control; ADP of the SNF
Misty Dawn Reid7911314299IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Cody Feakin7810239688IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Tonia Hoskins6709272743IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Ben Hamm5496237075IndividualOperational/Managerial Control; ADP of the SNF
Andrew Simpson2769927185IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Mary Kofstad6800962614IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Nicole A Angerhofer0749762680IndividualOperational/Managerial Control; ADP of the SNF
Andrea Doepker8426558750IndividualOperational/Managerial Control; ADP of the SNF
Jolynn Munro7214445972IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Jennifer Dana2264940931IndividualOperational/Managerial Control; ADP of the SNF
Nita Vellody9032305461IndividualOperational/Managerial Control; ADP of the SNF
Michelle Garrett6800378498IndividualOperational/Managerial Control; ADP of the SNF
Michele Powelson6305354069IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Midcap Finco LLC2961915988Organization5% or Greater Security Interest; Operational/Managerial Control
Damien Haskins9335572080IndividualManaging Control - Governing Body; ADP of the SNF
Amanda Sanders8224569199IndividualManaging Control - Governing Body
Glen Robert Cavallo3072421676IndividualManaging Control - Governing Body
Ike Okoli4789025479IndividualManaging Control - Governing Body
Justin Polson5496056632IndividualManaging Control - Governing Body; ADP of the SNF
Carrie Vanderzanden9830607597IndividualManaging Control - Governing Body; ADP of the SNF
Michelle Funderberg1153839816IndividualManaging Control - Governing Body; ADP of the SNF
Colby Strunk5395253058IndividualManaging Control - Governing Body; ADP of the SNF
Kevin Hill8325556087IndividualManaging Control - Governing Body; ADP of the SNF
Todd Inskeep4789192444IndividualManaging Control - Governing Body; ADP of the SNF
Karl Rickard Miller Jr Revocable Trust3678081346Organization5% or Greater Indirect Ownership Interest100
Karl Rickard Miller1355250598Individual5% or Greater Indirect Ownership Interest100
Ari Cbc LLC7416089420OrganizationDirect Ownership Interest100
Ari Operations, LLC2163694282OrganizationIndirect Ownership Interest100
Avamere Group LLC7810112281OrganizationIndirect Ownership Interest100
Unknown party4385126994OrganizationADP of the SNF
Unknown party7012499627OrganizationADP of the SNF
Unknown party0941782551OrganizationADP of the SNF
Unknown party1850873464OrganizationADP of the SNF
Unknown party2769964378OrganizationADP of the SNF
Unknown party3678055282OrganizationADP of the SNF
Cheyenne Wainscott3577045152IndividualADP of the SNF
Kim Games6103326442IndividualADP of the SNF
Julie Davis6709386030IndividualADP of the SNF
Carolyn Staples3476053711IndividualADP of the SNF
Unknown party4486136090OrganizationADP of the SNF
Unknown party4587146196OrganizationADP of the SNF
Unknown party9931681541OrganizationADP of the SNF
Unknown party6204318819OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Avamere Rehabilitation of Clackamas
Clackamas Rehabilitation, LLC
43 residents
Other disclo…
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Related CMS associates

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Name match to Clackamas Rehabilitation, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.