Haven Convalescent Home, Inc.

Enrollment entity

Provider / enrollment organization Enrollment PAC 5890793392 Enrollment ID O20061116000460

Linked facilitiesFacilities

StatesStates

7 parties: 0 organizations · 7 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Elaine Tanner	5395744684	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; Corporate Director	28, 50
Mark Tanner	2860491156	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; Corporate Director	28, 50
Charles Tanner	6204835598	Individual	5% or Greater Direct Ownership Interest; ADP of the SNF	16
Rachel Tanner	7113926403	Individual	5% or Greater Direct Ownership Interest; ADP of the SNF	16
Dominick Grant	8022017318	Individual	5% or Greater Direct Ownership Interest; ADP of the SNF	12
Unknown party	6002396140	Individual	ADP of the SNF	—
Unknown party	4284114331	Individual	ADP of the SNF	—

Elaine TannerPAC 5395744684
Individual28, 505% or Greater Direct Ownership Interest; Corporate Officer
Mark TannerPAC 2860491156
Individual28, 505% or Greater Direct Ownership Interest; Corporate Officer
Charles TannerPAC 6204835598
Individual165% or Greater Direct Ownership Interest; ADP of the SNF
Rachel TannerPAC 7113926403
Individual165% or Greater Direct Ownership Interest; ADP of the SNF
Dominick GrantPAC 8022017318
Individual125% or Greater Direct Ownership Interest; ADP of the SNF
Unknown partyPAC 6002396140
IndividualADP of the SNF
Unknown partyPAC 4284114331
IndividualADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Haven Convalescent Home, Inc Haven Convalescent Home, Inc. 89 residents		Other disclo…	3.52	Ovr★★★★★Stf★★★★☆Ins★★★★★QM★★★☆☆	89

Haven Convalescent Home, Inc
Haven Convalescent Home, Inc.
Other disclosed role89 res3.52 HPRD
Overall 5Staffing Staff 4

Related CMS associates

Name match to Haven Convalescent Home, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.