Ebenezer Road Corporation

Enrollment entity
Provider / enrollment organization Enrollment PAC 9739277146 Enrollment ID O20071119000589

Details

Linked facilitiesFacilities
1
StatesStates
1

19 parties: 8 organizations · 11 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Chase Kohn9931119856Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Corporate Director33
Thaddeus Michael Bort6204722283IndividualOperational/Managerial Control; ADP of the SNF
Concept Rehab, Inc.2668438011OrganizationOperational/Managerial Control; ADP of the SNF
Tammy Gates2264920438IndividualOperational/Managerial Control; ADP of the SNF
Shirlie Spikes8820582372IndividualOperational/Managerial Control; ADP of the SNF
Stevie Lewis1355839523IndividualOperational/Managerial Control; ADP of the SNF
Wendy Jennings9133515828IndividualOperational/Managerial Control; ADP of the SNF
Caring Place Healthcare Group, LLC6002304375OrganizationOperational/Managerial Control; ADP of the SNF
Irrevocable Trust Agreement of Barry a. Kohn9032632815Organization5% or Greater Direct Ownership Interest; ADP of the SNF66.66
Chase M Kohn Qsst Tr0547569378Organization5% or Greater Direct Ownership Interest33.33
Patsy Kohn7911206743Individual5% or Greater Indirect Ownership Interest; Trustee of the SNF; ADP of the SNF66
Matt Payne8123542719IndividualCorporate Officer
Kimberlyn Braunig9739673286IndividualADP of the SNF
Delhi Property LLC8123543543OrganizationADP of the SNF
Jonathan Kohn1759411002IndividualADP of the SNF
Kohn Family Holdings Limited Liability Company1254855844OrganizationADP of the SNF
Lauryn Schuman3577693829IndividualADP of the SNF
The Chase M. Kohn Irrevocable Trust Dated December 16, 20134981198439OrganizationADP of the SNF
Engage Consulting, LLC9638667900OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Western Hills Retirement Village
Ebenezer Road Corporation
98 residents
Other disclo…
3.80Ovr★★★★Stf★★☆☆☆Ins★★★☆☆QM★★★★★98
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Ebenezer Road Corporation in FEC filings. Similar names may appear—confirm on FEC.gov.