Eldercare of Bemidji Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 8820908031 Enrollment ID O20030612000015

Details

Linked facilitiesFacilities
1
StatesStates
1

6 parties: 1 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Eldercare of Minnesota, Inc7517961865OrganizationOperational/Managerial Control; ADP of the SNF100
David Wilcox2769539949IndividualOperational/Managerial Control; ADP of the SNF
Laura Jean Erickson1254618812IndividualOperational/Managerial Control; ADP of the SNF
James B Birchem0648180851Individual5% or Greater Direct Ownership Interest; Corporate Officer; Corporate Director50
Kathleen A Birchem8426052770Individual5% or Greater Direct Ownership Interest; Corporate Officer; Corporate Director50
Steffanie Kay Jarvis2668812330IndividualCorporate Director; ADP of the SNF0

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Havenwood Care Center
Eldercare of Bemidji Inc
59 residents
Other disclo…
4.35Ovr★★☆☆☆Stf★★★★★Ins☆☆☆☆QM★★★☆☆59
  • Eldercare of Bemidji Inc
    Other disclosed role59 res4.35 HPRD
    Overall 2Staffing Staff 5
Related CMS associates

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Name match to Eldercare of Bemidji Inc in FEC filings. Similar names may appear—confirm on FEC.gov.