Boonville NO2 Inc

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 4284542010 Enrollment ID O20030116000019

Facilities by state

  • MO1

Details

Linked facilitiesFacilities
1

15 parties: 9 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Donald B Bedell5092623827IndividualCorporate Officer; Corporate Director; Operational/Managerial Control100
Kayla Warner1658777966IndividualOperational/Managerial Control; ADP of the SNF
Sovereign Healthcare Group LLC2365827185OrganizationOperational/Managerial Control; ADP of the SNF
AGH1 LLC8123547528OrganizationOperational/Managerial Control; ADP of the SNF
Robert Herman Koch8022028752IndividualOperational/Managerial Control; ADP of the SNF
Circle B Enterprises Holding Company Inc4183532914Organization5% or Greater Direct Ownership Interest100
Todd Beaird4789079096IndividualCorporate Officer; ADP of the SNF0
Forvis Mazars LLP7416866603OrganizationADP of the SNF
Fg LLC2668991068OrganizationADP of the SNF
MID States Inc2769901164OrganizationADP of the SNF
Riverdell Real Estate LLC7719495712OrganizationADP of the SNF
Unknown party8628586625OrganizationADP of the SNF
Van De Ven LLC3577082973OrganizationADP of the SNF
Unknown party1951819952IndividualADP of the SNF
Unknown party3779091772IndividualADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Riverdell Care Center
Boonville NO2 Inc
49 residents
Other disclo…
2.82Ovr★★☆☆☆Stf☆☆☆☆Ins★★★★QM☆☆☆☆49
  • Boonville NO2 Inc
    Other disclosed role49 res2.82 HPRD
    Overall 2Staffing Staff 1
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Boonville NO2 Inc in FEC filings. Similar names may appear—confirm on FEC.gov.