Pine Street SNF LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 2567817547 Enrollment ID O20231011001181

Details

Linked facilitiesFacilities
1
StatesStates
1

8 parties: 2 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Matthew M Russell1254703481IndividualW-2 Managing Employee
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
Joshua O Jergensen6800024092IndividualCorporate Officer
Frederick G Apt4486043916IndividualCorporate Officer
John T Mitchell0648429498IndividualCorporate Officer

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
City View Post Acute
Pine Street SNF LLC
172 residents
Other disclo…
3.92Ovr★★☆☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★★172
  • Pine Street SNF LLC
    Other disclosed role172 res3.92 HPRD
    Overall 2Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
05/01/2023City View Post AcutePine Street SNF LLCGhc of San Fran 180 LLCBuyer
  1. 05/01/2023
    Ghc of San Fran 180 LLCPine Street SNF LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Pine Street SNF LLC in FEC filings. Similar names may appear—confirm on FEC.gov.