La Jolla Skilled LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 3375702012 Enrollment ID O20120315000384

Details

Linked facilitiesFacilities
1
StatesStates
1

11 parties: 5 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Matthew Stevenson5799063244IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF0
Pouya Afshar0143361162IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Twomagnets LLC3678093127OrganizationOperational/Managerial Control
Soon Burnam9739195553IndividualCorporate Officer; Managing Control - Governing Body
Flagstone Healthcare South LLC4284640004Organization5% or Greater Direct Ownership Interest100
The Ensign Group Inc3476460494Organization5% or Greater Indirect Ownership Interest; ADP of the SNF100
Adam Willits3577859644IndividualCorporate Officer0
Barry Port2466457627IndividualCorporate Officer
Chad Keetch6507082955IndividualCorporate Officer
Ensign Services Inc3577089093OrganizationADP of the SNF
Nobel Health Properties LLC4688165038OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
The Springs at Pacific Regent
La Jolla Skilled LLC
56 residents
Other disclo…
5.06Ovr★★★★★Stf★★★☆☆Ins★★★★★QM★★★★★56
Related CMS associates

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Name match to La Jolla Skilled LLC in FEC filings. Similar names may appear—confirm on FEC.gov.