South Creek SNF Healthcare LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 3476092347 Enrollment ID O20240823002339

Linked facilitiesFacilities

StatesStates

10 parties: 3 organizations · 7 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Brent Schneider	7911003942	Individual	Operational/Managerial Control	—
Priyanka Attri	9830469949	Individual	Operational/Managerial Control	—
John T Mitchell	0648429498	Individual	Corporate Officer; Managing Control - Governing Body	—
Providence Group Nh, LLC	5294198396	Organization	5% or Greater Direct Ownership Interest	100.00
PACS Group, Inc.	7911360011	Organization	5% or Greater Indirect Ownership Interest	100.00

Brent SchneiderPAC 7911003942
IndividualOperational/Managerial Control
Priyanka AttriPAC 9830469949
IndividualOperational/Managerial Control
John T MitchellPAC 0648429498
IndividualCorporate Officer; Managing Control - Governing Body
Providence Group Nh, LLCPAC 5294198396
Organization100.005% or Greater Direct Ownership Interest
PACS Group, Inc.PAC 7911360011
Organization100.005% or Greater Indirect Ownership Interest

Show all 10 parties (5 more)

Name	Owner/control PAC	Type	Role(s)	%
Brent Schneider	7911003942	Individual	Operational/Managerial Control	—
Priyanka Attri	9830469949	Individual	Operational/Managerial Control	—
John T Mitchell	0648429498	Individual	Corporate Officer; Managing Control - Governing Body	—
Providence Group Nh, LLC	5294198396	Organization	5% or Greater Direct Ownership Interest	100.00
PACS Group, Inc.	7911360011	Organization	5% or Greater Indirect Ownership Interest	100.00
PACS Holdings, LLC	6103289202	Organization	5% or Greater Indirect Ownership Interest	100.00
Jason H Murray	0648228304	Individual	5% or Greater Indirect Ownership Interest	41.80
Mark D Hancock	9830337005	Individual	5% or Greater Indirect Ownership Interest	41.80
Frederick G Apt	4486043916	Individual	Corporate Officer	—
Joshua O Jergensen	6800024092	Individual	Corporate Officer	—

Brent SchneiderPAC 7911003942
IndividualOperational/Managerial Control
Priyanka AttriPAC 9830469949
IndividualOperational/Managerial Control
John T MitchellPAC 0648429498
IndividualCorporate Officer; Managing Control - Governing Body
Providence Group Nh, LLCPAC 5294198396
Organization100.005% or Greater Direct Ownership Interest
PACS Group, Inc.PAC 7911360011
Organization100.005% or Greater Indirect Ownership Interest
PACS Holdings, LLCPAC 6103289202
Organization100.005% or Greater Indirect Ownership Interest
Jason H MurrayPAC 0648228304
Individual41.805% or Greater Indirect Ownership Interest
Mark D HancockPAC 9830337005
Individual41.805% or Greater Indirect Ownership Interest
Frederick G AptPAC 4486043916
IndividualCorporate Officer
Joshua O JergensenPAC 6800024092
IndividualCorporate Officer

CMS enrollment records associate South Creek SNF Healthcare LLC with 1 nursing home shown on PBJ320.

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
South Creek Post Acute South Creek SNF Healthcare LLC 101 residents		Other disclo…	4.23	Ovr★★★★☆Stf★★★☆☆Ins★★★☆☆QM★★★★★	101

South Creek Post Acute
South Creek SNF Healthcare LLC
Other disclosed role101 res4.23 HPRD
Overall 4Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
08/01/2024	South Creek Post Acute	South Creek SNF Healthcare LLC	Care Center Centralia Inc	Buyer

08/01/2024
South Creek Post Acute (Buyer)
Care Center Centralia Inc → South Creek SNF Healthcare LLC

Related CMS associates

Name match to South Creek SNF Healthcare LLC in FEC filings. Similar names may appear—confirm on FEC.gov.