Flanagan Hco LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 4486081528 Enrollment ID O20200408004215

Linked facilitiesFacilities

StatesStates

3 parties: 1 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Mark B Petersen	1254248123	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer; W-2 Managing Employee	100
Gregory Green	2264502475	Individual	W-2 Managing Employee	0
Xch, LLC	9739515016	Organization	5% or Greater Direct Ownership Interest	99

Mark B PetersenPAC 1254248123
Individual1005% or Greater Indirect Ownership Interest; Corporate Officer
Gregory GreenPAC 2264502475
Individual0W-2 Managing Employee
Xch, LLCPAC 9739515016
Organization995% or Greater Direct Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Flanagan Rehabilitation and Health Care Center Flanagan Hco LLC 37 residents		Other disclo…	2.94	Ovr★★☆☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★★☆	37

Flanagan Rehabilitation and Health Care Center
Flanagan Hco LLC
Other disclosed role37 res2.94 HPRD
Overall 2Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
10/31/2019	Flanagan Rehabilitation and Health Care Center	Flanagan Hco LLC	Petersen Health Network, LLC	Buyer

10/31/2019
Flanagan Rehabilitation and Health Care Center (Buyer)
Petersen Health Network, LLC → Flanagan Hco LLC

Related CMS associates

Name match to Flanagan Hco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.