Independence 1 Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 9931143674 Enrollment ID O20050614000941

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 7 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Donald B Bedell5092623827IndividualCorporate Officer; Corporate Director; Operational/Managerial Control100
Matthew J Woods2062685068IndividualOperational/Managerial Control; ADP of the SNF
Sovereign Healthcare Group LLC2365827185OrganizationOperational/Managerial Control; ADP of the SNF
Malathi Tadakamalla4880730688IndividualOperational/Managerial Control; ADP of the SNF
AGH1 LLC8123547528OrganizationOperational/Managerial Control; ADP of the SNF
Circle B Enterprises Holding Company Inc4183532914Organization5% or Greater Direct Ownership Interest; ADP of the SNF100
Todd Beaird4789079096IndividualCorporate Officer; ADP of the SNF0
Forvis Mazars LLP7416866603OrganizationADP of the SNF
Fg LLC2668991068OrganizationADP of the SNF
MID States Inc2769901164OrganizationADP of the SNF
Unknown party3779092978IndividualADP of the SNF
Unknown party5597274795IndividualADP of the SNF
Van De Ven LLC3577082973OrganizationADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Maywood Terrace Living Center
Independence 1 Inc
45 residents
Other disclo…
3.49Ovr☆☆☆☆Stf☆☆☆☆Ins★★☆☆☆QM☆☆☆☆45
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Independence 1 Inc in FEC filings. Similar names may appear—confirm on FEC.gov.