Elmbrook of Hugo Operating Co., LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 6709253701 Enrollment ID O20221103003141

Linked facilitiesFacilities

StatesStates

2 parties: 0 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Tom Carl Coble	2163453077	Individual	Contracted Managing Employee; 5% or Greater Direct Ownership Interest	100
Alandra Needham	4284799107	Individual	W-2 Managing Employee	—

Tom Carl CoblePAC 2163453077
Individual100Contracted Managing Employee; 5% or Greater Direct Ownership Interest
Alandra NeedhamPAC 4284799107
IndividualW-2 Managing Employee

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Elmbrook of Hugo Elmbrook of Hugo Operating Co., LLC 55 residents		Other disclo…	3.50	Ovr★★☆☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★☆☆	55

Elmbrook of Hugo
Elmbrook of Hugo Operating Co., LLC
Other disclosed role55 res3.50 HPRD
Overall 2Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
09/01/2022	Elmbrook of Hugo	Elmbrook of Hugo Operating Co., LLC	Baptist Village Retirement Communities of Oklahoma, Inc	Buyer

09/01/2022
Elmbrook of Hugo (Buyer)
Baptist Village Retirement Communities of Oklahoma, Inc → Elmbrook of Hugo Operating Co., LLC

Related CMS associates

Name match to Elmbrook of Hugo Operating Co., LLC in FEC filings. Similar names may appear—confirm on FEC.gov.