Pine Ridge SNF Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 0648719682 Enrollment ID O20240822001398

Details

Linked facilitiesFacilities
1
StatesStates
1

14 parties: 6 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Neeta Bhogal0244376127IndividualOperational/Managerial Control; ADP of the SNF
James Ward Tappero3375572811IndividualOperational/Managerial Control; ADP of the SNF
Netsanet Habtu3072090844IndividualOperational/Managerial Control
Frederick G Apt4486043916IndividualOperational/Managerial Control
John T Mitchell0648429498IndividualOperational/Managerial Control
Joshua O Jergensen6800024092IndividualOperational/Managerial Control
Providence Group Nh, LLC5294198396Organization5% or Greater Direct Ownership Interest100
Pacs Group, Inc.7911360011Organization5% or Greater Indirect Ownership Interest100
Pacs Holdings, LLC6103289202Organization5% or Greater Indirect Ownership Interest100
Jason H Murray0648228304Individual5% or Greater Indirect Ownership Interest35.2
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest35.2
Edmonds 21008 Realty LLC5991282758OrganizationADP of the SNF
Providence Administrative Consulting Services Inc6406094671OrganizationADP of the SNF
Truist Bank6709306079Organization5% or Greater Security Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Pine Ridge Post Acute
Pine Ridge SNF Healthcare LLC
77 residents
Other disclo…
4.16Ovr★★★★Stf★★★★★Ins★★★☆☆QM★★★★77
  • Pine Ridge SNF Healthcare LLC
    Other disclosed role77 res4.16 HPRD
    Overall 4Staffing Staff 5

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
08/01/2024Pine Ridge Post AcutePine Ridge SNF Healthcare LLCCare Center Edmonds IncBuyer
  1. 08/01/2024
    Care Center Edmonds IncPine Ridge SNF Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Pine Ridge SNF Healthcare LLC in FEC filings. Similar names may appear—confirm on FEC.gov.