Creekside Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 9234490772 Enrollment ID O20180226002269

Details

Linked facilitiesFacilities
1
StatesStates
1

31 parties: 13 organizations · 18 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Western Home Services Inc8224209259Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Scott Kramer4486057700IndividualOperational/Managerial Control; ADP of the SNF
Paul Watters9638668171IndividualOperational/Managerial Control
Angela Evans5799280061IndividualOperational/Managerial Control; ADP of the SNF
Darrell Mccormick1951806223IndividualOperational/Managerial Control; ADP of the SNF
Jerry L. Harris4082526926IndividualOperational/Managerial Control; ADP of the SNF
Patrick O'leary0941705297IndividualOperational/Managerial Control; ADP of the SNF
Wendy Ager7810998366IndividualOperational/Managerial Control; ADP of the SNF
Abbye Fryslie3375032816IndividualOperational/Managerial Control
Larry Fox7315183662IndividualOperational/Managerial Control
Stacy Lee Gibbs9032525159IndividualOperational/Managerial Control
Kris Wilson Hansen4688582455IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Dianne Schultz4587820758IndividualCorporate Officer
Ronald Gaines8921492158IndividualCorporate Officer
Sarah Brown9234445255IndividualCorporate Officer
Sheri Brockelsby3870098296IndividualCorporate Officer
Aaron Sannes3072018399IndividualCorporate Director
Heather Schroeder6800391129IndividualCorporate Director
Katherine Susong7517487903IndividualCorporate Director
Lincoln Savings Bank7911402300Organization5% or Greater Mortgage Interest; ADP of the SNF72
Grundy County Memorial Hospital6406766435OrganizationADP of the SNF
Tech of Ages LLC2062917271OrganizationADP of the SNF
Bcg Holdings Inc4688173206OrganizationADP of the SNF
Brighton Consulting Group LLC9931016946OrganizationADP of the SNF
Cattail Bcg LLC9234630351OrganizationADP of the SNF
Show all 31 parties (6 more)
NameOwner/control PACTypeRole(s)%
Western Home Services Inc8224209259Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Scott Kramer4486057700IndividualOperational/Managerial Control; ADP of the SNF
Paul Watters9638668171IndividualOperational/Managerial Control
Angela Evans5799280061IndividualOperational/Managerial Control; ADP of the SNF
Darrell Mccormick1951806223IndividualOperational/Managerial Control; ADP of the SNF
Jerry L. Harris4082526926IndividualOperational/Managerial Control; ADP of the SNF
Patrick O'leary0941705297IndividualOperational/Managerial Control; ADP of the SNF
Wendy Ager7810998366IndividualOperational/Managerial Control; ADP of the SNF
Abbye Fryslie3375032816IndividualOperational/Managerial Control
Larry Fox7315183662IndividualOperational/Managerial Control
Stacy Lee Gibbs9032525159IndividualOperational/Managerial Control
Kris Wilson Hansen4688582455IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Dianne Schultz4587820758IndividualCorporate Officer
Ronald Gaines8921492158IndividualCorporate Officer
Sarah Brown9234445255IndividualCorporate Officer
Sheri Brockelsby3870098296IndividualCorporate Officer
Aaron Sannes3072018399IndividualCorporate Director
Heather Schroeder6800391129IndividualCorporate Director
Katherine Susong7517487903IndividualCorporate Director
Lincoln Savings Bank7911402300Organization5% or Greater Mortgage Interest; ADP of the SNF72
Grundy County Memorial Hospital6406766435OrganizationADP of the SNF
Tech of Ages LLC2062917271OrganizationADP of the SNF
Bcg Holdings Inc4688173206OrganizationADP of the SNF
Brighton Consulting Group LLC9931016946OrganizationADP of the SNF
Cattail Bcg LLC9234630351OrganizationADP of the SNF
Cattail Inc4486155835OrganizationADP of the SNF
Ecsi Inc6709387129OrganizationADP of the SNF
Iowa Health Care Association4981105319OrganizationADP of the SNF
Reliant Care Pharmacy Services LLC2466823406OrganizationADP of the SNF
Sugar Creek Health Management LLC7618472911OrganizationADP of the SNF
Cliftonlarsonallen LLP1456885441OrganizationADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Creekside
Creekside Inc
38 residents
Other disclo…
4.12Ovr★★★★★Stf★★★★★Ins★★★★★QM★★☆☆☆38
  • Creekside Inc
    Other disclosed role38 res4.12 HPRD
    Overall 5Staffing Staff 5
Related CMS associates

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