Ixia Holdings, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 1456538362 Enrollment ID O20110601000761

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Todd A Farrer0345333423IndividualContracted Managing Employee
Karsten Lester1355885674IndividualW-2 Managing Employee
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 Interest41.8
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest; Corporate Officer41.8
Frederick G Apt4486043916IndividualCorporate Officer
John T Mitchell0648429498IndividualCorporate Officer
Joshua O Jergensen6800024092IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Bishop Care Center
Ixia Holdings, LLC
94 residents
Other disclo…
3.82Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM★★★★94
  • Ixia Holdings, LLC
    Other disclosed role94 res3.82 HPRD
    Overall 3Staffing Staff 3
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