Palladian Aviston SNF, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 1850722570 Enrollment ID O20200513002650

Linked facilitiesFacilities

StatesStates

2 parties: 0 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Stephen P Miller	2062498314	Individual	Contracted Managing Employee; 5% or Greater Direct Ownership Interest; Corporate Officer	100
Michael Jason Mills	4587910682	Individual	W-2 Managing Employee	—

Stephen P MillerPAC 2062498314
Individual100Contracted Managing Employee; 5% or Greater Direct Ownership Interest
Michael Jason MillsPAC 4587910682
IndividualW-2 Managing Employee

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Aviston Countryside Manor Palladian Aviston SNF, LLC 72 residents		Other disclo…	2.87	Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★☆☆	72

Aviston Countryside Manor
Palladian Aviston SNF, LLC
Other disclosed role72 res2.87 HPRD
Overall 2Staffing Staff 2

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
03/01/2020	Aviston Countryside Manor	Palladian Aviston SNF, LLC	Aviston Countryside Manor, Inc.	Buyer

03/01/2020
Aviston Countryside Manor (Buyer)
Aviston Countryside Manor, Inc. → Palladian Aviston SNF, LLC

Related CMS associates

Name match to Palladian Aviston SNF, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.