Palladian Mt Vernon SNF, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 2466883186 Enrollment ID O20200513002826

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
Mount Vernon Countryside Manor Palladian Mt Vernon SNF, LLC 78 residents		Other disclo…	2.92	Ovr★★☆☆☆Stf★☆☆☆☆Ins★★★☆☆QM★★☆☆☆	78

Mount Vernon Countryside Manor
Palladian Mt Vernon SNF, LLC
Other disclosed role78 res2.92 HPRD
Overall 2Staffing Staff 1

1 CMS ownership change record (showing 1)

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

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

Related CMS associates

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