Otterbein Gahanna LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 7618294711 Enrollment ID O20150331000568

Linked facilitiesFacilities

StatesStates

5 parties: 1 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Rita C Hawkins	4385873298	Individual	Operational/Managerial Control	100
Daniel Arnold	7911223342	Individual	W-2 Managing Employee	100
Otterbein Home	7113834045	Organization	5% or Greater Direct Ownership Interest	100
Jill Wilson	5496662264	Individual	Corporate Officer	100
James Christopher Green	8224137047	Individual	Corporate Officer	100

Rita C HawkinsPAC 4385873298
Individual100Operational/Managerial Control
Daniel ArnoldPAC 7911223342
Individual100W-2 Managing Employee
Otterbein HomePAC 7113834045
Organization1005% or Greater Direct Ownership Interest
Jill WilsonPAC 5496662264
Individual100Corporate Officer
James Christopher GreenPAC 8224137047
Individual100Corporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Otterbein Gahanna Otterbein Gahanna LLC 56 residents		Other disclo…	3.85	Ovr★☆☆☆☆Stf★★★☆☆Ins★☆☆☆☆QM★★★★☆	56

Otterbein Gahanna
Otterbein Gahanna LLC
Other disclosed role56 res3.85 HPRD
Overall 1Staffing Staff 3

Related CMS associates

Name match to Otterbein Gahanna LLC in FEC filings. Similar names may appear—confirm on FEC.gov.