Polo Hco, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 8527497858 Enrollment ID O20200407001953

Linked facilitiesFacilities

StatesStates

3 parties: 1 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Mark B Petersen	1254248123	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer; W-2 Managing Employee	100, 0
Rhonda Biller	8729136775	Individual	W-2 Managing Employee	0
Xch, LLC	9739515016	Organization	5% or Greater Direct Ownership Interest	99

Mark B PetersenPAC 1254248123
Individual100, 05% or Greater Indirect Ownership Interest; Corporate Officer
Rhonda BillerPAC 8729136775
Individual0W-2 Managing Employee
Xch, LLCPAC 9739515016
Organization995% or Greater Direct Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Polo Rehabilitation & Hcc Polo Hco, LLC		Other disclo…	—	Ovr★★★☆☆Stf★☆☆☆☆Ins★★★★☆QM—	—

Polo Rehabilitation & Hcc
Polo Hco, LLC
Other disclosed role
Overall 3Staffing Staff 1

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
10/31/2019	Polo Rehabilitation & Hcc	Polo Hco, LLC	Petersen Health Network, LLC	Buyer

10/31/2019
Polo Rehabilitation & Hcc (Buyer)
Petersen Health Network, LLC → Polo Hco, LLC

Related CMS associates

Name match to Polo Hco, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.