Hendricks Community Hospital Assn & Retirement Home

Enrollment entity
Provider / enrollment organization Enrollment PAC 9830127356 Enrollment ID O20050727000599

Details

Linked facilitiesFacilities
1
StatesStates
1

11 parties: 0 organizations · 11 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Travis Olsen4082002894IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF0
Tabb D Mccluskey2365355146IndividualOperational/Managerial Control; ADP of the SNF
Heather Shaw8729513486IndividualCorporate Director; Trustee of the SNF0
Amy Heidi Fier2062877459IndividualCorporate Director; Trustee of the SNF0
Brittany Johnson5799140182IndividualCorporate Director; Trustee of the SNF0
Dawn Popowski1355739160IndividualCorporate Director; Trustee of the SNF0
John Engels7113280264IndividualCorporate Director; Trustee of the SNF0
James Ness4981988102IndividualCorporate Director; Trustee of the SNF
Allen Molascon7810925377IndividualCorporate Director; Trustee of the SNF
Vince Robinson4981632445IndividualCorporate Director; Trustee of the SNF
Mark Vaneck0345278800IndividualCorporate Director; Trustee of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Hendricks Community Hospital
Hendricks Community Hospital Assn & Retirement Home
46 residents
Other disclo…
3.53Ovr☆☆☆☆Stf☆☆☆☆Ins★★☆☆☆QM☆☆☆☆46
  • Hendricks Community Hospital Assn & Retirement Home
    Other disclosed role46 res3.53 HPRD
    Overall 1Staffing Staff 1
Related CMS associates

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Name match to Hendricks Community Hospital Assn & Retirement Home in FEC filings. Similar names may appear—confirm on FEC.gov.