Itasca Nursing Home

Enrollment entity
Provider / enrollment organization Enrollment PAC 9234209958 Enrollment ID O20080605000824

Details

Linked facilitiesFacilities
1
StatesStates
1

12 parties: 2 organizations · 10 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Ebenezer Management Services Inc5092817221OrganizationOperational/Managerial Control; ADP of the SNF100
Antoinette L Youngdahl-palecek0345214284IndividualOperational/Managerial Control; ADP of the SNF
Brittany Bell9931538220IndividualOperational/Managerial Control
Maggie Oliverius3173967072IndividualOperational/Managerial Control; ADP of the SNF
Todd Willett4688993447IndividualOperational/Managerial Control
County of Itasca5092607432Organization5% or Greater Direct Ownership Interest100
Terry Snyder1759520489IndividualCorporate Director0
Leo Trunt4789900275IndividualCorporate Director0
Austin Rohling7012494958IndividualCorporate Director
Cory Smith3577040419IndividualCorporate Director
John Johnson4486131323IndividualCorporate Director
Matthew Venema6204313141IndividualCorporate Director

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Grand Village
Itasca Nursing Home
62 residents
Other disclo…
4.20Ovr★★★★★Stf★★★★★Ins★★★☆☆QM★★★★★62
  • Itasca Nursing Home
    Other disclosed role62 res4.20 HPRD
    Overall 5Staffing Staff 5
Related CMS associates

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Name match to Itasca Nursing Home in FEC filings. Similar names may appear—confirm on FEC.gov.