Botetourt Health Care, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 5496788408 Enrollment ID O20051107000029

Linked facilitiesFacilities

StatesStates

6 parties: 3 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Ark Post Acute Network LLC	0345656237	Organization	Operational/Managerial Control	100
Brian S Anderson	1951579291	Individual	W-2 Managing Employee	25
Va Botetourt Ops LLC	1759707722	Organization	5% or Greater Direct Ownership Interest	80
Creative Care Resources LLC	1355575838	Organization	5% or Greater Direct Ownership Interest	20
Kimberly A Justiniano	1254755705	Individual	Corporate Officer	25
Roy B Bridges	2961526199	Individual	Corporate Officer	25

Ark Post Acute Network LLCPAC 0345656237
Organization100Operational/Managerial Control
Brian S AndersonPAC 1951579291
Individual25W-2 Managing Employee
Va Botetourt Ops LLCPAC 1759707722
Organization805% or Greater Direct Ownership Interest
Creative Care Resources LLCPAC 1355575838
Organization205% or Greater Direct Ownership Interest
Kimberly A JustinianoPAC 1254755705
Individual25Corporate Officer
Roy B BridgesPAC 2961526199
Individual25Corporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Daleville Health and Rehabilitation Botetourt Health Care, LLC 84 residents		Other disclo…	3.24	Ovr★★☆☆☆Stf★☆☆☆☆Ins★★★☆☆QM★★★★☆	84

Daleville Health and Rehabilitation
Botetourt Health Care, LLC
Other disclosed role84 res3.24 HPRD
Overall 2Staffing Staff 1

Related CMS associates

Name match to Botetourt Health Care, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.