Holbrook Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 0941742985 Enrollment ID O20240606000577

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 5 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Jeff Fletcher8628200532IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF100
Mark L Martinez7911942909IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Soon Burnam9739195553IndividualCorporate Officer; Managing Control - Governing Body0
Milestone Healthcare LLC7012010069Organization5% or Greater Direct Ownership Interest100
The Ensign Group Inc3476460494Organization5% or Greater Indirect Ownership Interest; ADP of the SNF100
Chad Keetch6507082955IndividualCorporate Officer0
Stephen W Farnsworth6800061623IndividualCorporate Director0
Ensign Services Inc3577089093OrganizationADP of the SNF
Millcreek Health Holdings LLC4486122553OrganizationADP of the SNF
Standard Bearer Healthcare Op, LP7012433535OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
South Davis Specialty Care
Holbrook Healthcare LLC
54 residents
Other disclo…
7.93Ovr★★★★★Stf★★★★Ins★★★★QM★★★★★54
  • Holbrook Healthcare LLC
    Other disclosed role54 res7.93 HPRD
    Overall 5Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
05/01/2024South Davis Specialty CareHolbrook Healthcare LLCProvidential Bba Operating LPBuyer
  1. 05/01/2024
    Providential Bba Operating LPHolbrook Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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