The Vineyards at Fowler LLC

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 0840679122 Enrollment ID O20230530002244

Facilities by state

  • CA1

Details

Linked facilitiesFacilities
1

6 parties: 3 organizations · 3 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Simon Holguin3971846353IndividualW-2 Managing Employee
Swc Ca Opco 2 LLC1759760036Organization5% or Greater Direct Ownership Interest100
Aaron Chesley3870599848Individual5% or Greater Indirect Ownership Interest; Corporate Officer50
Ajc Healthcare LLC1355617002Organization5% or Greater Indirect Ownership Interest50
James B Gamett5890018089Individual5% or Greater Indirect Ownership Interest; Corporate Officer50
Jbg Partners LLC8628344371Organization5% or Greater Indirect Ownership Interest50

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Vineyards at Fowler
The Vineyards at Fowler LLC
44 residents
Other disclo…
4.71Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★44
  • The Vineyards at Fowler LLC
    Other disclosed role44 res4.71 HPRD
    Overall 2Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
11/01/2021Vineyards at FowlerThe Vineyards at Fowler LLCFowler Post Acute, LLCBuyer
  1. 11/01/2021
    Fowler Post Acute, LLCThe Vineyards at Fowler LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to The Vineyards at Fowler LLC in FEC filings. Similar names may appear—confirm on FEC.gov.