Rebold Manor L L C

Enrollment entity

Provider / enrollment organization Enrollment PAC 5395771141 Enrollment ID O20050713000054

Linked facilitiesFacilities

StatesStates

4 parties: 2 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Bridges Esop, Inc	0648660134	Organization	5% or Greater Direct Ownership Interest; Operational/Managerial Control	100
William Brett Coble	4688733926	Individual	Corporate Officer; Operational/Managerial Control	—
Kristy Deroin	0244531754	Individual	W-2 Managing Employee	0
Bridges Employee Stock Ownership Trust	2466842950	Organization	5% or Greater Indirect Ownership Interest	100

Bridges Esop, IncPAC 0648660134
Organization1005% or Greater Direct Ownership Interest; Operational/Managerial Control
William Brett CoblePAC 4688733926
IndividualCorporate Officer; Operational/Managerial Control
Kristy DeroinPAC 0244531754
Individual0W-2 Managing Employee
Bridges Employee Stock Ownership TrustPAC 2466842950
Organization1005% or Greater Indirect Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Woodlands Skilled Nursing and Therapy Rebold Manor L L C 51 residents		Other disclo…	3.11	Ovr★★★☆☆Stf★★★★☆Ins★★★☆☆QM★★★☆☆	51

Woodlands Skilled Nursing and Therapy
Rebold Manor L L C
Other disclosed role51 res3.11 HPRD
Overall 3Staffing Staff 4

Related CMS associates

Name match to Rebold Manor L L C in FEC filings. Similar names may appear—confirm on FEC.gov.