Eventide Jamestown LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8729119078 Enrollment ID O20100630000185

Details

Linked facilitiesFacilities
1
StatesStates
1

22 parties: 6 organizations · 16 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Mariah Hiltner8325523145IndividualOperational/Managerial Control
Mia Shaw7416432232IndividualOperational/Managerial Control
Tiffany Baty6507341310IndividualOperational/Managerial Control
Karen Miller9234614058IndividualOperational/Managerial Control
Matthew Fitzgerald0446768527IndividualOperational/Managerial Control; ADP of the SNF
Derek M Brickner6002088325IndividualOperational/Managerial Control; ADP of the SNF
Blue Stone Therapy Inc1850707787OrganizationOperational/Managerial Control; ADP of the SNF
Jerilyn Wass1254849334IndividualOperational/Managerial Control
Darin G Ohe1759292089IndividualOperational/Managerial Control
Ashley Wentland1355859430IndividualOperational/Managerial Control
Eventide7810908712Organization5% or Greater Direct Ownership Interest100
Brandon Lunak2264803485IndividualCorporate Officer; Corporate Director
Vikki Johnson9537530753IndividualCorporate Officer; Corporate Director
Jon M Riewer0547271447IndividualCorporate Officer
Terry Brandt6002287224IndividualCorporate Director
Patrick Gulbranson4789839671IndividualCorporate Director
Robert J Bye1759629777IndividualCorporate Director
Peter J Seljevold2163680604IndividualCorporate Director
Unknown party6800304080OrganizationADP of the SNF
Unknown party7719495894OrganizationADP of the SNF
Unknown party4082122262OrganizationADP of the SNF
Unknown party5991213175OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Eventide Jamestown
Eventide Jamestown LLC
76 residents
Other disclo…
4.16Ovr★★★☆☆Stf★★★★Ins★★★☆☆QM★★☆☆☆76
  • Eventide Jamestown LLC
    Other disclosed role76 res4.16 HPRD
    Overall 3Staffing Staff 4
Related CMS associates

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