Phs Council Bluffs Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 9133555386 Enrollment ID O20200206000236

Details

Linked facilitiesFacilities
1
StatesStates
1

9 parties: 3 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Jonathan David Fletcher4789194366IndividualCorporate Officer; Corporate Director; Operational/Managerial Control50, 33
Heidi A Peterson5698285278IndividualCorporate Director; Operational/Managerial Control; ADP of the SNF33
Benjamin L Eddy3870819642IndividualOperational/Managerial Control; ADP of the SNF
Eyad Farhan Kakish8628976214IndividualOperational/Managerial Control; ADP of the SNF
Phs Management, LLC5193901049OrganizationOperational/Managerial Control; ADP of the SNF
Mark T Meyer3274441639IndividualOperational/Managerial Control; ADP of the SNF
Presbyterian Homes Housing and Assisted Living, Inc.7618996059OrganizationOperational/Managerial Control
Mark A Pederson3274567094IndividualCorporate Director33
Us Bank National Association9133208028Organization5% or Greater Mortgage Interest; 5% or Greater Security Interest75

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Prairie Gate
Phs Council Bluffs Inc
35 residents
Other disclo…
4.21Ovr★★☆☆☆Stf★★★★Ins★★☆☆☆QM★★★★35
  • Phs Council Bluffs Inc
    Other disclosed role35 res4.21 HPRD
    Overall 2Staffing Staff 4
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Name match to Phs Council Bluffs Inc in FEC filings. Similar names may appear—confirm on FEC.gov.