Waterford Operations, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4284647090 Enrollment ID O20060721000133

Details

Linked facilitiesFacilities
1
StatesStates
1

50 parties: 21 organizations · 29 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Midcap Finco LLC2961915988Organization5% or Greater Security Interest; Operational/Managerial Control100
Avamere Health Services LLC3971635988OrganizationOperational/Managerial Control; ADP of the SNF100
Katherine Fowler2163926841IndividualOperational/Managerial Control; ADP of the SNF
Shannon Becerra5991283921IndividualOperational/Managerial Control; ADP of the SNF
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
Naomi Prevatt6800374836IndividualOperational/Managerial Control; ADP of the SNF
Andrew Simpson2769927185IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Marlon Bothwell7719465640IndividualOperational/Managerial Control; ADP of the SNF
Mary Kofstad6800962614IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Michelle Loewen4183132848IndividualOperational/Managerial Control; ADP of the SNF
Jolynn Munro7214445972IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Holly Sutton4385016625IndividualOperational/Managerial Control; ADP of the SNF
Michele Powelson6305354069IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Karen T Kahn5597828996IndividualOperational/Managerial Control; ADP of the SNF
Avamere Skilled Advisors LLC0244551661OrganizationOperational/Managerial Control; ADP of the SNF
Damien Haskins9335572080IndividualManaging Control - Governing Body; ADP of the SNF
Tonia Hoskins6709272743IndividualManaging 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
Show all 50 parties (25 more)
NameOwner/control PACTypeRole(s)%
Midcap Finco LLC2961915988Organization5% or Greater Security Interest; Operational/Managerial Control100
Avamere Health Services LLC3971635988OrganizationOperational/Managerial Control; ADP of the SNF100
Katherine Fowler2163926841IndividualOperational/Managerial Control; ADP of the SNF
Shannon Becerra5991283921IndividualOperational/Managerial Control; ADP of the SNF
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
Naomi Prevatt6800374836IndividualOperational/Managerial Control; ADP of the SNF
Andrew Simpson2769927185IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Marlon Bothwell7719465640IndividualOperational/Managerial Control; ADP of the SNF
Mary Kofstad6800962614IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Michelle Loewen4183132848IndividualOperational/Managerial Control; ADP of the SNF
Jolynn Munro7214445972IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Holly Sutton4385016625IndividualOperational/Managerial Control; ADP of the SNF
Michele Powelson6305354069IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Karen T Kahn5597828996IndividualOperational/Managerial Control; ADP of the SNF
Avamere Skilled Advisors LLC0244551661OrganizationOperational/Managerial Control; ADP of the SNF
Damien Haskins9335572080IndividualManaging Control - Governing Body; ADP of the SNF
Tonia Hoskins6709272743IndividualManaging 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
Carolyn Staples3476053711IndividualManaging 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
Ariso LLC3072616960Organization5% or Greater Direct Ownership Interest100
Karl Rickard Miller Jr Revocable Trust3678081346Organization5% or Greater Indirect Ownership Interest100
Ari Operations, LLC2163694282Organization5% or Greater Indirect Ownership Interest100
Karl Rickard Miller1355250598Individual5% or Greater Indirect Ownership Interest100
Avamere Group LLC6507865482Organization5% or Greater Indirect Ownership Interest100
Kim Games6103326442IndividualADP of the SNF
Pioneer Healthcare Services, LLC9537647425OrganizationADP of the SNF
Rande Holdings, LLC6305347626OrganizationADP of the SNF
Ventura Medstaff, LLC5294236519OrganizationADP of the SNF
National Staffing Solutions, Inc7214438530OrganizationADP of the SNF
Triage LLC3375067879OrganizationADP of the SNF
Aequor Healthcare Services, LLC7315448628OrganizationADP of the SNF
Incovate Solutions, LLC7315448636OrganizationADP of the SNF
Sabra Health Care Limited Partnership7113428434OrganizationADP of the SNF
Sabra Health Care Reit Inc0941438881OrganizationADP of the SNF
Sabra Health Care, LLC8921509241OrganizationADP of the SNF
Lori Brockbank1759869688IndividualADP of the SNF
Kevala Technologies, Inc3274011168OrganizationADP of the SNF
Unknown party6103304092OrganizationADP of the SNF
Moss Adams LLP9234637075OrganizationADP of the SNF
Consolidated Billing Services Inc4789611914OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Avamere at Three Fountains
Waterford Operations, LLC
75 residents
Other disclo…
5.06Ovr★★★★★Stf★★★★Ins★★★★QM★★★★★75
  • Waterford Operations, LLC
    Other disclosed role75 res5.06 HPRD
    Overall 5Staffing Staff 4
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