Park Village Hc Np LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 5799066924 Enrollment ID O20170103000010

Details

Linked facilitiesFacilities
1
StatesStates
1

8 parties: 3 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Thomas Odonnell6103082193Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control26.25
Marcina Shutt7719465665IndividualOperational/Managerial Control; ADP of the SNF
Brian Mcclain4789675422IndividualOperational/Managerial Control; ADP of the SNF
Park Village Development LLC1658652888Organization5% or Greater Direct Ownership Interest; ADP of the SNF100
Robert J Odonnell Irrv Business Tr4385925510Organization5% or Greater Indirect Ownership Interest; ADP of the SNF30
Robert Odonnell2567628555Individual5% or Greater Indirect Ownership Interest; Corporate Officer; ADP of the SNF20
Jeffrey Tucker0749446748Individual5% or Greater Indirect Ownership Interest; Corporate Officer; ADP of the SNF15
Thomas P and Lynn Odonnell Irrv Fam Tr1355622580Organization5% or Greater Indirect Ownership Interest; ADP of the SNF8.75

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Other disclo…
4.21Ovr★★★★★Stf★★★★★Ins★★★★★QM★★★★38
  • Other disclosed role38 res4.21 HPRD
    Overall 5Staffing Staff 5
Related CMS associates

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Name match to Park Village Hc Np LLC in FEC filings. Similar names may appear—confirm on FEC.gov.