Otterbein Portage Valley Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 5193988731 Enrollment ID O20120518000376

Details

Linked facilitiesFacilities
1
StatesStates
1

29 parties: 4 organizations · 25 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Otterbein Home7113834045Organization5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Jessica Kirkendall6709390719IndividualOperational/Managerial Control; ADP of the SNF
Becky Bayliff0648781070IndividualOperational/Managerial Control
Daniel Burke9234659483IndividualOperational/Managerial Control
Heidi Glosser1951458561IndividualOperational/Managerial Control
John E Pierce5395738777IndividualOperational/Managerial Control; ADP of the SNF
Lynn App9537485511IndividualOperational/Managerial Control
Ralph Reed Fraley4981518636IndividualOperational/Managerial Control
Robert Coleman8628144102IndividualOperational/Managerial Control
Steve Vonderhaar9739588542IndividualOperational/Managerial Control
Tomas Hazelbaker4587184734IndividualOperational/Managerial Control
Victoria Bartlett2163579772IndividualOperational/Managerial Control
William Brownson2961922117IndividualOperational/Managerial Control
Functional Pathways of Tennessee LLC5193255008OrganizationOperational/Managerial Control; ADP of the SNF
James Christopher Green8224137047IndividualCorporate Officer; Operational/Managerial Control
Judy Benedict7315451325IndividualManaging Control - Governing Body; Trustee of the SNF
Mike Godfrey9133633142IndividualManaging Control - Governing Body; Trustee of the SNF
Katie Mckibbin2860906872IndividualManaging Control - Governing Body; Trustee of the SNF
Daniel Barbee3971888595IndividualManaging Control - Governing Body; Trustee of the SNF
Norris Hinds5193181238IndividualManaging Control - Governing Body; Trustee of the SNF
Thomas Kyllo1456263615IndividualManaging Control - Governing Body; Trustee of the SNF
Marilyn Bowlus9234416520IndividualManaging Control - Governing Body; Trustee of the SNF
Otterbein Lsc, LLC4981981263Organization5% or Greater Direct Ownership Interest100
Jason E Miller1658500566IndividualCorporate Officer
Jill Wilson5496662264IndividualCorporate Officer
Show all 29 parties (4 more)
NameOwner/control PACTypeRole(s)%
Otterbein Home7113834045Organization5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Jessica Kirkendall6709390719IndividualOperational/Managerial Control; ADP of the SNF
Becky Bayliff0648781070IndividualOperational/Managerial Control
Daniel Burke9234659483IndividualOperational/Managerial Control
Heidi Glosser1951458561IndividualOperational/Managerial Control
John E Pierce5395738777IndividualOperational/Managerial Control; ADP of the SNF
Lynn App9537485511IndividualOperational/Managerial Control
Ralph Reed Fraley4981518636IndividualOperational/Managerial Control
Robert Coleman8628144102IndividualOperational/Managerial Control
Steve Vonderhaar9739588542IndividualOperational/Managerial Control
Tomas Hazelbaker4587184734IndividualOperational/Managerial Control
Victoria Bartlett2163579772IndividualOperational/Managerial Control
William Brownson2961922117IndividualOperational/Managerial Control
Functional Pathways of Tennessee LLC5193255008OrganizationOperational/Managerial Control; ADP of the SNF
James Christopher Green8224137047IndividualCorporate Officer; Operational/Managerial Control
Judy Benedict7315451325IndividualManaging Control - Governing Body; Trustee of the SNF
Mike Godfrey9133633142IndividualManaging Control - Governing Body; Trustee of the SNF
Katie Mckibbin2860906872IndividualManaging Control - Governing Body; Trustee of the SNF
Daniel Barbee3971888595IndividualManaging Control - Governing Body; Trustee of the SNF
Norris Hinds5193181238IndividualManaging Control - Governing Body; Trustee of the SNF
Thomas Kyllo1456263615IndividualManaging Control - Governing Body; Trustee of the SNF
Marilyn Bowlus9234416520IndividualManaging Control - Governing Body; Trustee of the SNF
Otterbein Lsc, LLC4981981263Organization5% or Greater Direct Ownership Interest100
Jason E Miller1658500566IndividualCorporate Officer
Jill Wilson5496662264IndividualCorporate Officer
Rita C Hawkins4385873298IndividualCorporate Officer
Angie Powell8628259801IndividualCorporate Director
John Stephenson2062799356IndividualCorporate Director
Polaris Pharmacy Services of Ohio LLC0941743348OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Otterbein Portage Valley
Otterbein Portage Valley Inc
46 residents
Other disclo…
3.46Ovr★★★★Stf★★★☆☆Ins★★★☆☆QM★★★★★46
  • Otterbein Portage Valley Inc
    Other disclosed role46 res3.46 HPRD
    Overall 4Staffing Staff 3
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Name match to Otterbein Portage Valley Inc in FEC filings. Similar names may appear—confirm on FEC.gov.