ML-OP Coffeyville LLC

Mixed CMS roles

Provider / enrollment organization Enrollment PAC 9032598313 Enrollment ID O20220616000484

Linked facilitiesFacilities

14 parties: 1 organizations · 13 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Travis I Mcbride	1153484993	Individual	Corporate Officer; W-2 Managing Employee	0
Medicalodges Inc	4688585979	Organization	5% or Greater Direct Ownership Interest	100
Lori A Waechter Harmon	1658604434	Individual	Corporate Officer	0
Teresa Coover	6406101096	Individual	Corporate Officer	0
Shannon M Lager	8921919226	Individual	Corporate Officer; Corporate Director	0
Staci Cardenas	3678584927	Individual	Corporate Officer	0
Pamela L Smith	2668727256	Individual	Corporate Officer	0
Scott L Hines	7416097464	Individual	Corporate Officer; Corporate Director	0
Kathleen L Lantz	1153233044	Individual	Corporate Officer	0
Ron Ott	0143360198	Individual	Corporate Director	0
Carol Marshall	3678614369	Individual	Corporate Director	0
Gayle M Doll	3678666179	Individual	Corporate Director	0
Richard Butler	1951291889	Individual	Corporate Director	0
Garen L Cox	6709776636	Individual	Corporate Director	0

Travis I McbridePAC 1153484993
Individual0Corporate Officer; W-2 Managing Employee
Medicalodges IncPAC 4688585979
Organization1005% or Greater Direct Ownership Interest
Lori A Waechter HarmonPAC 1658604434
Individual0Corporate Officer
Teresa CooverPAC 6406101096
Individual0Corporate Officer
Shannon M LagerPAC 8921919226
Individual0Corporate Officer; Corporate Director
Staci CardenasPAC 3678584927
Individual0Corporate Officer
Pamela L SmithPAC 2668727256
Individual0Corporate Officer
Scott L HinesPAC 7416097464
Individual0Corporate Officer; Corporate Director
Kathleen L LantzPAC 1153233044
Individual0Corporate Officer
Ron OttPAC 0143360198
Individual0Corporate Director
Carol MarshallPAC 3678614369
Individual0Corporate Director
Gayle M DollPAC 3678666179
Individual0Corporate Director
Richard ButlerPAC 1951291889
Individual0Corporate Director
Garen L CoxPAC 6709776636
Individual0Corporate Director

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Medicalodges Coffeyville on Midland ML-OP Coffeyville LLC 68 residents		Other disclo…	4.17	Ovr★★★☆☆Stf★★★★★Ins★★☆☆☆QM★★☆☆☆	68

Medicalodges Coffeyville on Midland
ML-OP Coffeyville LLC
Other disclosed role68 res4.17 HPRD
Overall 3Staffing Staff 5

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
05/01/2022	Medicalodges Coffeyville on Midland	ML-OP Coffeyville LLC	Health Management of Kansas Inc	Buyer

05/01/2022
Medicalodges Coffeyville on Midland (Buyer)
Health Management of Kansas Inc → ML-OP Coffeyville LLC

Related CMS associates

Name match to ML-OP Coffeyville LLC in FEC filings. Similar names may appear—confirm on FEC.gov.