Otterbein Maineville, LLC

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 6608907621 Enrollment ID O20100708000106

Details

Linked facilitiesFacilities
1
StatesStates
1

20 parties: 4 organizations · 16 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Otterbein Home7113834045Organization5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF100
James Christopher Green8224137047IndividualCorporate Officer; Operational/Managerial Control100
Naveena Nelson9931181351IndividualOperational/Managerial Control; ADP of the SNF
Kathleen Klespies4789063108IndividualOperational/Managerial Control; ADP of the SNF
Becky Bayliff0648781070IndividualOperational/Managerial Control
Daniel Burke9234659483IndividualOperational/Managerial Control
Heidi Glosser1951458561IndividualOperational/Managerial Control
Lynn App9537485511IndividualOperational/Managerial Control
Ralph Reed Fraley4981518636IndividualOperational/Managerial Control
Robert Coleman8628144102IndividualOperational/Managerial Control
Steve Vonderhaar9739588542IndividualOperational/Managerial Control
Tomas Hazelbaker4587184734IndividualOperational/Managerial Control
Victoria Bartlett2163579772IndividualOperational/Managerial Control
William Brownson2961922117IndividualOperational/Managerial Control
Functional Pathways of Tennessee LLC5193255008OrganizationOperational/Managerial Control; ADP of the SNF
Otterbein Neighborhoods, LLC5496149684Organization5% or Greater Direct Ownership Interest100
Daniel Arnold7911223342IndividualCorporate Officer
Jill Wilson5496662264IndividualCorporate Officer
Brandy Ostendorf0648502872IndividualCorporate Director
Polaris Pharmacy Services of Ohio LLC0941743348OrganizationADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Otterbein at Maineville
Otterbein Maineville, LLC
53 residents
Other disclo…
4.49Ovr★★★☆☆Stf★★★★Ins★★★☆☆QM★★★★53
  • Otterbein Maineville, LLC
    Other disclosed role53 res4.49 HPRD
    Overall 3Staffing Staff 4
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Name match to Otterbein Maineville, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.