Haven of Phoenix LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 2961781778 Enrollment ID O20161118001633

Details

Linked facilitiesFacilities
1
StatesStates
1

15 parties: 4 organizations · 11 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Christian R West0345485223Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF6.4
Jason J Seastrand8426373853IndividualOperational/Managerial Control; ADP of the SNF; Direct Ownership Interest3.92
Shelly R. Koker9234644014IndividualOperational/Managerial Control; ADP of the SNF
Health Group Management LLC9931637840OrganizationOperational/Managerial Control; ADP of the SNF
Russell Greiner3173899002IndividualOperational/Managerial Control; ADP of the SNF
Hemang M Gandhi0345242814IndividualOperational/Managerial Control; ADP of the SNF
Lindsay Fragoso8820526742IndividualOperational/Managerial Control; ADP of the SNF
Bahaledin Ahmed6204372030IndividualOperational/Managerial Control; ADP of the SNF
Haven Health Group LLC9638314511Organization5% or Greater Direct Ownership Interest100
Stephen Samuelian3375453392Individual5% or Greater Direct Ownership Interest; ADP of the SNF36.73
Spencer R Samuelian5890930770Individual5% or Greater Direct Ownership Interest; ADP of the SNF25.21
Robert Samuelian4284544206Individual5% or Greater Direct Ownership Interest; ADP of the SNF20.13
Brett P Robertson9234273772Individual5% or Greater Direct Ownership Interest; ADP of the SNF7.61
Haven Health Properties LLC0648709675Organization5% or Greater Mortgage Interest; ADP of the SNF100
Haven Phoenix Real Estate LLC7214451608Organization5% or Greater Mortgage Interest; ADP of the SNF100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Haven of Phoenix
Haven of Phoenix LLC
107 residents
Other disclo…
3.23Ovr★★★☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★★★107
  • Haven of Phoenix LLC
    Other disclosed role107 res3.23 HPRD
    Overall 3Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
06/01/2016Haven of PhoenixHaven of Phoenix LLCPhoenix Healthcare LLCBuyer
  1. 06/01/2016
    Phoenix Healthcare LLCHaven of Phoenix LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Haven of Phoenix LLC in FEC filings. Similar names may appear—confirm on FEC.gov.