4000 Valley Square Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 9537070974 Enrollment ID O20030822000023

Details

Linked facilitiesFacilities
1
StatesStates
1

24 parties: 2 organizations · 22 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Valley Senior Living1759890502Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Garth Rydland3173765278IndividualCorporate Officer; Corporate Director; Operational/Managerial Control0
Thomas Colenso4587173331IndividualCorporate Director; Operational/Managerial Control; Managing Control - Governing Body
Carol Svendson3375993611IndividualCorporate Officer; Corporate Director; Operational/Managerial Control
Scott Jerry Berge6608259320IndividualCorporate Director; Operational/Managerial Control; Managing Control - Governing Body
Joe C Litsey0941719793IndividualOperational/Managerial Control; ADP of the SNF
Lisa A Warner8123537974IndividualOperational/Managerial Control; ADP of the SNF
Dwight W Thompson6608786959IndividualCorporate Officer; Corporate Director; Operational/Managerial Control
Tina Lyn Safranski0547668287IndividualOperational/Managerial Control; ADP of the SNF
Adam J Edwards1850800608IndividualOperational/Managerial Control; ADP of the SNF
Gina Roller7719302652IndividualOperational/Managerial Control; ADP of the SNF
Michael R Brown0941331615IndividualCorporate Director; Operational/Managerial Control; Managing Control - Governing Body
David Molmen5799695045IndividualCorporate Officer; Corporate Director; Operational/Managerial Control
Rachael A Herberg3779092523IndividualOperational/Managerial Control; ADP of the SNF
Christopher Pj Henderson3971746611IndividualOperational/Managerial Control; ADP of the SNF
Margaret Reed9335483429IndividualCorporate Officer; Corporate Director; Operational/Managerial Control
Patrick F Moore3971750373IndividualCorporate Director; Operational/Managerial Control; Managing Control - Governing Body
Jennifer M Schultz1951810704IndividualOperational/Managerial Control; ADP of the SNF
Megan M Anderson2466961206IndividualOperational/Managerial Control; ADP of the SNF
Renita J Stethem3678082427IndividualOperational/Managerial Control; ADP of the SNF
Shannon D Holte2860901618IndividualOperational/Managerial Control; ADP of the SNF
Lorilee Bott7618119710IndividualOperational/Managerial Control; ADP of the SNF
Brian J Sand7214446061IndividualOperational/Managerial Control; ADP of the SNF
Altru Health System1355251604OrganizationOperational/Managerial Control; ADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Woodside Village
4000 Valley Square Inc
129 residents
Other disclo…
5.25Ovr★★★★★Stf★★★★★Ins★★★★QM★★★★129
  • 4000 Valley Square Inc
    Other disclosed role129 res5.25 HPRD
    Overall 5Staffing Staff 5
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to 4000 Valley Square Inc in FEC filings. Similar names may appear—confirm on FEC.gov.