Claiborne Medical Center

Enrollment entity

Provider / enrollment organization Enrollment PAC 5395969828 Enrollment ID O20140626001475

Linked facilitiesFacilities

StatesStates

9 parties: 1 organizations · 8 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Luis C Pannocchia	3072609809	Individual	Operational/Managerial Control; ADP of the SNF	—
Covenant Health	2264345263	Organization	5% or Greater Direct Ownership Interest	100
Robert V Boos	7113361171	Individual	Corporate Officer	100
Rita Griffin	2567748312	Individual	Corporate Officer	100
Amy Herndon	2769392752	Individual	Corporate Officer	100
Gordon Lintz	7012069313	Individual	Corporate Officer	100
Amy Delong	0749629749	Individual	Corporate Officer	100
Joseph Christopher Dolan	2264842095	Individual	Corporate Officer	100
James Vandersteeg	5597673343	Individual	Corporate Officer	100

Luis C PannocchiaPAC 3072609809
IndividualOperational/Managerial Control; ADP of the SNF
Covenant HealthPAC 2264345263
Organization1005% or Greater Direct Ownership Interest
Robert V BoosPAC 7113361171
Individual100Corporate Officer
Rita GriffinPAC 2567748312
Individual100Corporate Officer
Amy HerndonPAC 2769392752
Individual100Corporate Officer
Gordon LintzPAC 7012069313
Individual100Corporate Officer
Amy DelongPAC 0749629749
Individual100Corporate Officer
Joseph Christopher DolanPAC 2264842095
Individual100Corporate Officer
James VandersteegPAC 5597673343
Individual100Corporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Claiborne Health and Rehabilitation Center Claiborne Medical Center 64 residents		Other disclo…	4.35	Ovr★★★☆☆Stf★★★★☆Ins★★★☆☆QM★★★☆☆	64

Claiborne Health and Rehabilitation Center
Claiborne Medical Center
Other disclosed role64 res4.35 HPRD
Overall 3Staffing Staff 4

Related CMS associates

Name match to Claiborne Medical Center in FEC filings. Similar names may appear—confirm on FEC.gov.