Pmg OPCO-BROUSSARD LLC

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 0941693055 Enrollment ID O20220214002309

Facilities by state

  • LA1

Details

Linked facilitiesFacilities
1

24 parties: 9 organizations · 15 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Priority Management Group, LLC3476835273OrganizationOperational/Managerial Control; ADP of the SNF100
Steven D Boulware5991839813Individual5% or Greater Direct Ownership Interest; 5% or Greater Indirect Ownership Interest; 5% or Greater Security Interest33.33, 8.33, 41.66
William M Bauder9436335668Individual5% or Greater Indirect Ownership Interest; 5% or Greater Security Interest; Operational/Managerial Control8.33, 33.33
Boulware St James LLC6204086275Organization5% or Greater Direct Ownership Interest; 5% or Greater Security Interest; ADP of the SNF33.34
Bauder Family Investments, LLC9931592045Organization5% or Greater Direct Ownership Interest; 5% or Greater Security Interest; ADP of the SNF33.33
Katie B Walker0446384366Individual5% or Greater Indirect Ownership Interest; 5% or Greater Security Interest; ADP of the SNF8.33
Kelly P Bauder7618153842Individual5% or Greater Indirect Ownership Interest; 5% or Greater Security Interest; ADP of the SNF8.33
Madison R Bauder8820481930Individual5% or Greater Indirect Ownership Interest; 5% or Greater Security Interest; ADP of the SNF8.33
Parker C Bauder6103219217Individual5% or Greater Indirect Ownership Interest; 5% or Greater Security Interest; ADP of the SNF8.33
Thomas C Boulware1355475278Individual5% or Greater Indirect Ownership Interest; 5% or Greater Security Interest; ADP of the SNF8.33
Douglas B Boulware0446161152IndividualADP of the SNF
James Richardson3476946583IndividualADP of the SNF
Susila Shanmuganathan1355589961IndividualADP of the SNF
Unknown party2668999582OrganizationADP of the SNF
Unknown party3577080498OrganizationADP of the SNF
Unknown party4486171303OrganizationADP of the SNF
Unknown party5395262216OrganizationADP of the SNF
Unknown party7517475817IndividualADP of the SNF
Luisa Blanco3870001175IndividualADP of the SNF
Progressive Rehab Solutions, LLC7618492497OrganizationADP of the SNF
Unknown party1153839451IndividualADP of the SNF
Unknown party2961910260IndividualADP of the SNF
Unknown party6204353121OrganizationADP of the SNF
Unknown party6608384904IndividualADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Camelot of Broussard
Pmg OPCO-BROUSSARD LLC
132 residents
Other disclo…
3.22Ovr★★★☆☆Stf★★☆☆☆Ins★★★☆☆QM★★★☆☆132
  • Pmg OPCO-BROUSSARD LLC
    Other disclosed role132 res3.22 HPRD
    Overall 3Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
01/01/2022Camelot of BroussardPmg OPCO-BROUSSARD LLCLouisiana Guest House LLCBuyer
  1. 01/01/2022
    Louisiana Guest House LLCPmg OPCO-BROUSSARD LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Pmg OPCO-BROUSSARD LLC in FEC filings. Similar names may appear—confirm on FEC.gov.