Otterbein St Marys

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 8921916354 Enrollment ID O20021113000002

Facilities by state

  • OH1

Details

Linked facilitiesFacilities
1

31 parties: 4 organizations · 27 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Otterbein Home7113834045Organization5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Tara Sibert8325004245IndividualOperational/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
Tomas Hazelbaker4587184734IndividualOperational/Managerial Control
Victoria Bartlett2163579772IndividualOperational/Managerial Control
William Brownson2961922117IndividualOperational/Managerial Control
John Medaugh1557760360IndividualCorporate Director; Operational/Managerial Control
Steve Vonderhaar9739588542IndividualCorporate Director; Operational/Managerial Control
Functional Pathways of Tennessee LLC5193255008OrganizationOperational/Managerial Control; ADP of the SNF
Rachel Lynn Hunter9234201799IndividualOperational/Managerial Control; ADP of the SNF
Bruce Slavik5294134003IndividualCorporate Director; Operational/Managerial Control
Rita C Hawkins4385873298IndividualOperational/Managerial Control
James Christopher Green8224137047IndividualCorporate Officer; Operational/Managerial Control
Daniel Young2365956216IndividualManaging Control - Governing Body; Trustee of the SNF
Karen Imwalle8729592670IndividualManaging Control - Governing Body; Trustee of the SNF
Tyler Kroeger9436591559IndividualManaging Control - Governing Body; Trustee of the SNF
Jeffrey Ingraham4284148131IndividualManaging Control - Governing Body; Trustee of the SNF
Gordon Coffin6204151970IndividualManaging Control - Governing Body; Trustee of the SNF
Jane Steinemann6002320959IndividualManaging Control - Governing Body; Trustee of the SNF
Dave Voisard1456738251IndividualManaging Control - Governing Body; Trustee of the SNF
Show all 31 parties (6 more)
NameOwner/control PACTypeRole(s)%
Otterbein Home7113834045Organization5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Tara Sibert8325004245IndividualOperational/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
Tomas Hazelbaker4587184734IndividualOperational/Managerial Control
Victoria Bartlett2163579772IndividualOperational/Managerial Control
William Brownson2961922117IndividualOperational/Managerial Control
John Medaugh1557760360IndividualCorporate Director; Operational/Managerial Control
Steve Vonderhaar9739588542IndividualCorporate Director; Operational/Managerial Control
Functional Pathways of Tennessee LLC5193255008OrganizationOperational/Managerial Control; ADP of the SNF
Rachel Lynn Hunter9234201799IndividualOperational/Managerial Control; ADP of the SNF
Bruce Slavik5294134003IndividualCorporate Director; Operational/Managerial Control
Rita C Hawkins4385873298IndividualOperational/Managerial Control
James Christopher Green8224137047IndividualCorporate Officer; Operational/Managerial Control
Daniel Young2365956216IndividualManaging Control - Governing Body; Trustee of the SNF
Karen Imwalle8729592670IndividualManaging Control - Governing Body; Trustee of the SNF
Tyler Kroeger9436591559IndividualManaging Control - Governing Body; Trustee of the SNF
Jeffrey Ingraham4284148131IndividualManaging Control - Governing Body; Trustee of the SNF
Gordon Coffin6204151970IndividualManaging Control - Governing Body; Trustee of the SNF
Jane Steinemann6002320959IndividualManaging Control - Governing Body; Trustee of the SNF
Dave Voisard1456738251IndividualManaging Control - Governing Body; Trustee of the SNF
Deborah Borns8820497639IndividualManaging Control - Governing Body; Trustee of the SNF
Charles R Gamble5395060065IndividualManaging Control - Governing Body; Trustee of the SNF
Steve Dues0749505410IndividualManaging Control - Governing Body; Trustee of the SNF
Otterbein Lsc LLC0840701272Organization5% or Greater Direct Ownership Interest100
Jill Wilson5496662264IndividualCorporate Officer
Polaris Pharmacy Services of Ohio LLC0941743348OrganizationADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Otterbein St Marys Retirement Community
Otterbein St Marys
50 residents
Other disclo…
3.49Ovr★★★★Stf★★★☆☆Ins★★★★QM★★★★50
Related CMS associates

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