Pmg OPCO-SHREVEPORT LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 2860734761 Enrollment ID O20190424002704

Details

Linked facilitiesFacilities
1
StatesStates
1

18 parties: 9 organizations · 9 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Priority Management Group, LLC3476835273OrganizationOperational/Managerial Control; ADP of the SNF100
Steven D Boulware5991839813Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Indirect Ownership Interest33.33
William M Bauder9436335668Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Indirect Ownership Interest33.33
Sdb Holdings6406120690Organization5% or Greater Direct Ownership Interest100
Douglas B Boulware0446161152Individual5% or Greater Indirect Ownership Interest; Indirect Ownership Interest33.34
Unknown party0648789495OrganizationADP of the SNF
Unknown party2466961214OrganizationADP of the SNF
Unknown party6103335955OrganizationADP of the SNF
Unknown party7911416763OrganizationADP of the SNF
Unknown party9739698580OrganizationADP of the SNF
James Werner Williams3577072339IndividualADP of the SNF
Pat Bass2163614488IndividualADP of the SNF
Christina Marie Starr4486163243IndividualADP of the SNF
Unknown party2668981424IndividualADP of the SNF
Unknown party3375052129OrganizationADP of the SNF
Unknown party3678082435IndividualADP of the SNF
Unknown party4284143033OrganizationADP of the SNF
Unknown party7113436973IndividualADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Shreveport Manor Skilled Nursing & Rehabilitation
Pmg OPCO-SHREVEPORT LLC
68 residents
Other disclo…
2.76Ovr★★☆☆☆Stf☆☆☆☆Ins★★★☆☆QM★★★☆☆68

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
04/01/2019Shreveport Manor Skilled Nursing & RehabilitationPmg OPCO-SHREVEPORT LLCShreveport Scc LLCBuyer
  1. 04/01/2019
    Shreveport Scc LLCPmg OPCO-SHREVEPORT LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Pmg OPCO-SHREVEPORT LLC in FEC filings. Similar names may appear—confirm on FEC.gov.