Lookout Mountain Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 0840532602 Enrollment ID O20190425002721

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 5 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Clayton Wagner2365784121IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF0
Charlton P Haerter1254327661IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Soon Burnam9739195553IndividualCorporate Officer; Managing Control - Governing Body0
Bandera Healthcare LLC4486654175Organization5% or Greater Direct Ownership Interest100
The Ensign Group Inc3476460494Organization5% or Greater Indirect Ownership Interest; ADP of the SNF100
Chad Keetch6507082955IndividualCorporate Officer0
Forrest Peterson3779625447IndividualCorporate Officer
Ensign Services Inc3577089093OrganizationADP of the SNF
Standard Bearer Healthcare Op, LP7012433535OrganizationADP of the SNF
Summit Trail Health Holdings LLC8921502170OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Phoenix Mountain Post Acute
Lookout Mountain Healthcare LLC
119 residents
Other disclo…
3.26Ovr★★★☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★★119
  • Lookout Mountain Healthcare LLC
    Other disclosed role119 res3.26 HPRD
    Overall 3Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
04/01/2019Phoenix Mountain Post AcuteLookout Mountain Healthcare LLCPhoenix Mountain Nursing Center, IncBuyer
  1. 04/01/2019
    Phoenix Mountain Nursing Center, IncLookout Mountain Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Lookout Mountain Healthcare LLC in FEC filings. Similar names may appear—confirm on FEC.gov.