51 Route 204 Opco LLC

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 2860903044 Enrollment ID O20250616000650

Facilities by state

  • PA1

Details

Linked facilitiesFacilities
1

21 parties: 15 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Alyssa L Clark4587920335IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Charles C Pagana2466446034IndividualOperational/Managerial Control; ADP of the SNF
Christopher Bowes4789099144IndividualOperational/Managerial Control; ADP of the SNF
Lori Fisher4082127949IndividualOperational/Managerial Control; ADP of the SNF
SNF Mgr LLC4688186810OrganizationOperational/Managerial Control; ADP of the SNF
Tequilla Jones8022520253IndividualOperational/Managerial Control; ADP of the SNF
Tiffany Hoback7315391984IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Selinsgrove Parentco LLC8921511866Organization5% or Greater Direct Ownership Interest100
Isle of Que Holdco LLC5294248134Organization5% or Greater Indirect Ownership Interest100
Paop Holdco LLC8820501760Organization5% or Greater Indirect Ownership Interest100
SNF Care Centers LLC3870005002Organization5% or Greater Indirect Ownership Interest100
Zenith Holdco II LLC5698287829Organization5% or Greater Indirect Ownership Interest100
Zenith Holdco LLC7315459542Organization5% or Greater Indirect Ownership Interest100
Nu C II Irrevocable Trust1951813187Organization5% or Greater Indirect Ownership Interest50
Nu C Irrevocable Trust9133631369Organization5% or Greater Indirect Ownership Interest50
Unknown party5092228940OrganizationADP of the SNF
Omnicare LLC0648219162OrganizationADP of the SNF
Selinsgrove Re Owner LLC1254844194Organization5% or Greater Security Interest; ADP of the SNF
Unknown party0446763395OrganizationADP of the SNF
Unknown party1557874401OrganizationADP of the SNF
Unknown party7416460365OrganizationADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Manor at Penn Village, the
51 Route 204 Opco LLC
99 residents
Other disclo…
3.51Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★99
  • 51 Route 204 Opco LLC
    Other disclosed role99 res3.51 HPRD
    Overall 2Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
06/01/2025Manor at Penn Village, the51 Route 204 Opco LLCPenn Village Facility Operations, LLCBuyer
  1. 06/01/2025
    Penn Village Facility Operations, LLC51 Route 204 Opco LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to 51 Route 204 Opco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.