Otterbein Clearcreek LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8123191038 Enrollment ID O20080724000571

Details

Linked facilitiesFacilities
1
StatesStates
1

20 parties: 4 organizations · 16 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Otterbein Home7113834045Organization5% or Greater Direct Ownership Interest; 5% or Greater Indirect Ownership Interest; Operational/Managerial Control100
James Christopher Green8224137047IndividualCorporate Officer; Operational/Managerial Control100
Susan Berner2062447394IndividualOperational/Managerial Control; ADP of the SNF
Kristen Mckinney8729468491IndividualOperational/Managerial Control; ADP of the SNF
Becky Bayliff0648781070IndividualOperational/Managerial Control
Daniel Burke9234659483IndividualOperational/Managerial Control
Heidi Glosser1951458561IndividualOperational/Managerial Control
Lynn App9537485511IndividualOperational/Managerial Control
Ralph Reed Fraley4981518636IndividualOperational/Managerial Control
Robert Coleman8628144102IndividualOperational/Managerial Control
Steve Vonderhaar9739588542IndividualOperational/Managerial Control
Tomas Hazelbaker4587184734IndividualOperational/Managerial Control
Victoria Bartlett2163579772IndividualOperational/Managerial Control
William Brownson2961922117IndividualOperational/Managerial Control
Functional Pathways of Tennessee LLC5193255008OrganizationOperational/Managerial Control; ADP of the SNF
Otterbein Neighborhoods, LLC5496149684Organization5% or Greater Direct Ownership Interest100
Daniel Arnold7911223342IndividualCorporate Officer
Jason E Miller1658500566IndividualCorporate Officer
Jill Wilson5496662264IndividualCorporate Officer
Polaris Pharmacy Services of Ohio LLC0941743348OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Otterbein Springboro
Otterbein Clearcreek LLC
57 residents
Other disclo…
4.44Ovr★★★★Stf★★★★Ins★★★☆☆QM★★★★★57
  • Otterbein Clearcreek LLC
    Other disclosed role57 res4.44 HPRD
    Overall 4Staffing Staff 4
Related CMS associates

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