Independence Manor Inc

Ownership interest

Organization PAC 9537223813 Enrollment ID O20090202000050

Linked facilitiesFacilities

StatesStates

Portfolio HPRDPortfolio HPRD

3.30

n = 1

16 parties: 5 organizations · 11 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Joyce E Juckette	7517946502	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; Corporate Director	100
Independence Manor Inc	9537223813	Organization	Operational/Managerial Control; ADP of the SNF; Indirect Ownership Interest	100
Juckette Management Services Inc	2961311048	Organization	Operational/Managerial Control; ADP of the SNF; Indirect Ownership Interest	100
Audrey Plowman	9830684554	Individual	Operational/Managerial Control; ADP of the SNF	—
Louay K Sabih	5395703151	Individual	Operational/Managerial Control; ADP of the SNF	—
Nichole Biesenthal	8921593641	Individual	Operational/Managerial Control; ADP of the SNF	—
Kayanna Shebiel	9133614373	Individual	Operational/Managerial Control; ADP of the SNF	—
Teresa Hudlemeyer	9335535764	Individual	Operational/Managerial Control; ADP of the SNF	—
Kristianna Mansour	7012402738	Individual	Operational/Managerial Control; ADP of the SNF	—
Holly Juckette	6204138555	Individual	Corporate Officer; Corporate Director; Operational/Managerial Control	—
Lisa Steele	7012219363	Individual	Corporate Officer; Corporate Director; Operational/Managerial Control	—
Teri Neuroth	9830491182	Individual	Corporate Officer; Corporate Director; Operational/Managerial Control	—
Randall A Steele	6507008877	Individual	Corporate Director; Operational/Managerial Control; ADP of the SNF	—
Unknown party	1759876998	Organization	ADP of the SNF	—
Unknown party	4486149622	Organization	ADP of the SNF	—
Unknown party	5395230536	Organization	ADP of the SNF	—

Joyce E JuckettePAC 7517946502
Individual1005% or Greater Direct Ownership Interest; Corporate Officer
Independence Manor IncPAC 9537223813
Organization100Operational/Managerial Control; ADP of the SNF
Juckette Management Services IncPAC 2961311048
Organization100Operational/Managerial Control; ADP of the SNF
Audrey PlowmanPAC 9830684554
IndividualOperational/Managerial Control; ADP of the SNF
Louay K SabihPAC 5395703151
IndividualOperational/Managerial Control; ADP of the SNF
Nichole BiesenthalPAC 8921593641
IndividualOperational/Managerial Control; ADP of the SNF
Kayanna ShebielPAC 9133614373
IndividualOperational/Managerial Control; ADP of the SNF
Teresa HudlemeyerPAC 9335535764
IndividualOperational/Managerial Control; ADP of the SNF
Kristianna MansourPAC 7012402738
IndividualOperational/Managerial Control; ADP of the SNF
Holly JuckettePAC 6204138555
IndividualCorporate Officer; Corporate Director
Lisa SteelePAC 7012219363
IndividualCorporate Officer; Corporate Director
Teri NeurothPAC 9830491182
IndividualCorporate Officer; Corporate Director
Randall A SteelePAC 6507008877
IndividualCorporate Director; Operational/Managerial Control
Unknown partyPAC 1759876998
OrganizationADP of the SNF
Unknown partyPAC 4486149622
OrganizationADP of the SNF
Unknown partyPAC 5395230536
OrganizationADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Independence Manor Care Center Independence Manor Inc 41 residents			3.30	Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM★★☆☆☆	41

Independence Manor Care Center
Independence Manor Inc
41 res3.30 HPRD
Overall 3Staffing Staff 3

Related CMS associates

Also appears as enrollment entity on 1 facility.

Facility	Enrollment ID	Location	City
Independence Manor Care Center Independence Manor Inc 41 residents	O20090202000050		SPRINGFIELD

Independence Manor Care Center
Independence Manor Inc
41 residents
Enrollment O20090202000050 · Springfield, MO · SPRINGFIELD

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