Otterbein Middletown LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8820151582 Enrollment ID O20090107000422

Details

Linked facilitiesFacilities
1
StatesStates
1

18 parties: 4 organizations · 14 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Otterbein Home7113834045Organization5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Becky Bayliff0648781070IndividualOperational/Managerial Control
Daniel Burke9234659483IndividualOperational/Managerial Control
Heidi Glosser1951458561IndividualOperational/Managerial Control
Koby Michael Dixon9638588239IndividualOperational/Managerial Control; ADP of the SNF
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
Kathleen Nolan-lawler1951815166IndividualOperational/Managerial Control; ADP of the SNF
James Christopher Green8224137047IndividualCorporate Officer; Operational/Managerial Control
Otterbein Neighborhoods, LLC5496149684Organization5% or Greater Direct Ownership Interest100
Jill Wilson5496662264IndividualCorporate Officer
Polaris Pharmacy Services of Ohio LLC0941743348OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Otterbein Middletown
Otterbein Middletown LLC
54 residents
Other disclo…
4.19Ovr★★★★Stf★★★★Ins★★★☆☆QM★★★★★54
  • Otterbein Middletown LLC
    Other disclosed role54 res4.19 HPRD
    Overall 4Staffing Staff 4
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Name match to Otterbein Middletown LLC in FEC filings. Similar names may appear—confirm on FEC.gov.