12TH Street Operations, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 3375814957 Enrollment ID O20170731002419

Details

Linked facilitiesFacilities
1
StatesStates
1

11 parties: 5 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Covey C Christensen0345158556Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF82.5
Michael Joseph Clegg9638185457Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Managing Control - Governing Body17.5
Cameron Cook0749758431IndividualOperational/Managerial Control; ADP of the SNF
David C Shepherd8527126325IndividualOperational/Managerial Control; ADP of the SNF
John P. Ikerd3476038464IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Amber M Hopkins6002277480IndividualOperational/Managerial Control; ADP of the SNF
Madison Creek Partners LLC2163745357OrganizationOperational/Managerial Control; ADP of the SNF
Tippet, LLC9931684925Organization5% or Greater Indirect Ownership Interest82.5
White Canyon, LLC1759866742Organization5% or Greater Indirect Ownership Interest17.5
Unknown party0840796033OrganizationADP of the SNF
Unknown party6305342593OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Pioneer Health Care Center
12TH Street Operations, LLC
78 residents
Other disclo…
3.36Ovr★★★★Stf★★★★Ins★★★☆☆QM★★★★★78
  • 12TH Street Operations, LLC
    Other disclosed role78 res3.36 HPRD
    Overall 4Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
07/01/2016Pioneer Health Care Center12TH Street Operations, LLCRocky Ford Healthcare LLCBuyer
  1. 07/01/2016
    Rocky Ford Healthcare LLC12TH Street Operations, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to 12TH Street Operations, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.