Avera Queen of Peace

Enrollment entity
Provider / enrollment organization Enrollment PAC 9335050806 Enrollment ID O20091209000245

Details

Linked facilitiesFacilities
1
StatesStates
1

21 parties: 2 organizations · 19 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Kimberly Jane Longe3173005741IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Hilary Rae Rockwell7214081959IndividualCorporate Officer; Operational/Managerial Control
Lucio N Margallo1557328499IndividualCorporate Director; Operational/Managerial Control; ADP of the SNF
Ann Buckmiller5092211763IndividualManaging Control - Governing Body
Fredel Thomas2961936091IndividualManaging Control - Governing Body
Joyce Feteral3870027907IndividualManaging Control - Governing Body
Vicky Larson4789118811IndividualManaging Control - Governing Body
Darlene Bergeleen8729469531IndividualManaging Control - Governing Body
Diane Sandhoff2961485347IndividualManaging Control - Governing Body
Jessica A Claussen9436393030IndividualManaging Control - Governing Body
Mark Puetz8022462456IndividualManaging Control - Governing Body
Nicole Stahle9931553369IndividualManaging Control - Governing Body
Trevor Dierks0840644274IndividualManaging Control - Governing Body
Jennifer L Tegethoff6204134018IndividualManaging Control - Governing Body
Mark Hunhoff9931535887IndividualManaging Control - Governing Body
Brad Zomer2668724022IndividualManaging Control - Governing Body
Ryan Thompson3577815935IndividualManaging Control - Governing Body
Avera Health8224945860Organization5% or Greater Direct Ownership Interest100
James Francis Dover0345133344IndividualCorporate Officer
Julie Lautt6709989338IndividualCorporate Officer
Unknown party4183106743OrganizationGeneral Partnership Interest; Limited Partnership Interest; ADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Avera Brady Health and Rehab
Avera Queen of Peace
75 residents
Other disclo…
4.40Ovr★★★★★Stf★★★★★Ins★★★★★QM★★★★75
Related CMS associates

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Name match to Avera Queen of Peace in FEC filings. Similar names may appear—confirm on FEC.gov.