Cottage Grove SNF Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 1153860481 Enrollment ID O20240829003351

Details

Linked facilitiesFacilities
1
StatesStates
1

14 parties: 6 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Karen Pompey1052820396IndividualOperational/Managerial Control
Jennifer Barr4880133115IndividualOperational/Managerial Control; ADP of the SNF
Victor Wallenkampf4880750330IndividualOperational/Managerial Control; ADP of the SNF
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
Cottage Grove 515 Realty LLC3274042510OrganizationADP 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
Cottage Grove Post Acute
Cottage Grove SNF Healthcare LLC
66 residents
Other disclo…
4.64Ovr★★★☆☆Stf★★★★Ins★★★☆☆QM★★★★66
  • Cottage Grove SNF Healthcare LLC
    Other disclosed role66 res4.64 HPRD
    Overall 3Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
09/01/2024Cottage Grove Post AcuteCottage Grove SNF Healthcare LLCCoast Fork Nursing Center IncBuyer
  1. 09/01/2024
    Coast Fork Nursing Center IncCottage Grove SNF Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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