Mount Carmel Home Keens Memorial

Enrollment entity

Provider / enrollment organization Enrollment PAC 7517876741 Enrollment ID O20030327000005

Linked facilitiesFacilities

StatesStates

6 parties: 0 organizations · 6 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Tracy Banda	5294114310	Individual	Corporate Officer; W-2 Managing Employee; Operational/Managerial Control	100
Robert C Messbarger	2860543485	Individual	Contracted Managing Employee; ADP of the SNF	100
Emily Birdsley	7113455874	Individual	Contracted Managing Employee; Corporate Officer; ADP of the SNF	—
Mary Therese Blavet	5294055182	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; Other	100, 4.9
Katherine Johnson	1759819410	Individual	Corporate Director; ADP of the SNF	—
Katrina Charles	8921328824	Individual	Other	—

Tracy BandaPAC 5294114310
Individual100Corporate Officer; W-2 Managing Employee
Robert C MessbargerPAC 2860543485
Individual100Contracted Managing Employee; ADP of the SNF
Emily BirdsleyPAC 7113455874
IndividualContracted Managing Employee; Corporate Officer
Mary Therese BlavetPAC 5294055182
Individual100, 4.95% or Greater Direct Ownership Interest; Corporate Officer
Katherine JohnsonPAC 1759819410
IndividualCorporate Director; ADP of the SNF
Katrina CharlesPAC 8921328824
IndividualOther

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Mt Carmel Home - Keens Memorial Mount Carmel Home Keens Memorial 57 residents		Other disclo…	6.11	Ovr★★★★☆Stf★★★★☆Ins★★★★☆QM★★★★☆	57

Mt Carmel Home - Keens Memorial
Mount Carmel Home Keens Memorial
Other disclosed role57 res6.11 HPRD
Overall 4Staffing Staff 4

Related CMS associates

Name match to Mount Carmel Home Keens Memorial in FEC filings. Similar names may appear—confirm on FEC.gov.