Derby Health & Rehabilitation

Enrollment entity
Provider / enrollment organization Enrollment PAC 6901942242 Enrollment ID O20090930000263

Details

Linked facilitiesFacilities
1
StatesStates
1

15 parties: 7 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Axiom Healthcare Services LLC5294812459OrganizationOperational/Managerial Control100
Frederick C Hermes8123930039Individual5% or Greater Indirect Ownership Interest; W-2 Managing Employee8.76
Axiom Healthcare Alliance, LLC6901219047Organization5% or Greater Direct Ownership Interest100
Gregory F Lakin5799699658Individual5% or Greater Indirect Ownership Interest10.97
Wichita Wellness Inc7911155544Organization5% or Greater Indirect Ownership Interest10.97
Axiom Consulting LLC7012165632Organization5% or Greater Indirect Ownership Interest8.76
Matt Lillie Investments, Inc4486802006Organization5% or Greater Indirect Ownership Interest7.9
Matthew Lillie6709963960Individual5% or Greater Indirect Ownership Interest7.9
Roger Evans Revocable Trust8729491873Organization5% or Greater Indirect Ownership Interest5.65
Roger W Evans1052209301Individual5% or Greater Indirect Ownership Interest5.65
Ann Ross0547673691Individual5% or Greater Indirect Ownership Interest5.38
Dennis L Ross8426952060Individual5% or Greater Indirect Ownership Interest5.38
Dennis L. Ross Pod to Trustee of Dennis L. Ross Living Trust U/A 4/4/19638582786Organization5% or Greater Indirect Ownership Interest5.38
Chance C Becnel2961496955IndividualCorporate Officer
Brenda M Kruse3971896853IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Derby Health & Rehabilitation, LLC
Derby Health & Rehabilitation
67 residents
Other disclo…
4.99Ovr★★★★★Stf★★★★Ins★★★★★QM★★★★★67
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Derby Health & Rehabilitation in FEC filings. Similar names may appear—confirm on FEC.gov.