Waverly 1 Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 9133164502 Enrollment ID O20050627000221

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 7 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Donald B Bedell5092623827IndividualCorporate Officer; Corporate Director; Operational/Managerial Control100
Dana Rose Davis2365959905IndividualOperational/Managerial Control; ADP of the SNF
Sovereign Healthcare Group LLC2365827185OrganizationOperational/Managerial Control; ADP of the SNF
AGH1 LLC8123547528OrganizationOperational/Managerial Control; ADP of the SNF
Ram Chandra8325942444IndividualOperational/Managerial Control; ADP of the SNF
Circle B Enterprises Holding Company Inc4183532914Organization5% or Greater Direct Ownership Interest100
Todd Beaird4789079096IndividualCorporate Officer; ADP of the SNF0
Forvis Mazars LLP7416866603OrganizationADP of the SNF
Unknown party1456868009IndividualADP of the SNF
Unknown party3274040829IndividualADP of the SNF
Fg LLC2668991068OrganizationADP of the SNF
MID States Inc2769901164OrganizationADP of the SNF
Van De Ven LLC3577082973OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Apple Ridge Care Center
Waverly 1 Inc
47 residents
Other disclo…
2.74Ovr☆☆☆☆Stf☆☆☆☆Ins★★☆☆☆QM★★☆☆☆47
  • Waverly 1 Inc
    Other disclosed role47 res2.74 HPRD
    Overall 1Staffing Staff 1
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Waverly 1 Inc in FEC filings. Similar names may appear—confirm on FEC.gov.