Fountain View Manor, Inc.

Enrollment entity

Provider / enrollment organization Enrollment PAC 7618958711 Enrollment ID O20040525001569

Linked facilitiesFacilities

StatesStates

4 parties: 0 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Jennifer Michelle Munholland	1456332568	Individual	5% or Greater Direct Ownership Interest; 5% or Greater Mortgage Interest; Corporate Officer	67, 100
Donna Molet	2860887874	Individual	5% or Greater Direct Ownership Interest	16.5
Dayna Renee Benedict	9436699576	Individual	Corporate Officer; ADP of the SNF	25
Angela M Mcguire	9436254307	Individual	ADP of the SNF	—

Jennifer Michelle MunhollandPAC 1456332568
Individual67, 1005% or Greater Direct Ownership Interest; 5% or Greater Mortgage Interest
Donna MoletPAC 2860887874
Individual16.55% or Greater Direct Ownership Interest
Dayna Renee BenedictPAC 9436699576
Individual25Corporate Officer; ADP of the SNF
Angela M McguirePAC 9436254307
IndividualADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Fountain View Manor, Inc Fountain View Manor, Inc. 82 residents		Other disclo…	2.96	Ovr★★☆☆☆Stf★★☆☆☆Ins★★★☆☆QM★☆☆☆☆	82

Fountain View Manor, Inc
Fountain View Manor, Inc.
Other disclosed role82 res2.96 HPRD
Overall 2Staffing Staff 2

Related CMS associates

Name match to Fountain View Manor, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.