Providence SNF Operator LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 3779841143 Enrollment ID O20171213002392

Details

Linked facilitiesFacilities
1
StatesStates
1

4 parties: 2 organizations · 2 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Beacon Health Management LLC9830339019OrganizationOperational/Managerial Control100
Bruce E Wertheim1254242340Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control100
Elisa Holiday0749350866IndividualW-2 Managing Employee
Pww Healthcare, LLC3072837590Organization5% or Greater Direct Ownership Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Providence Healthcare
Providence SNF Operator LLC
75 residents
Other disclo…
2.74Ovr★★☆☆☆Stf☆☆☆☆Ins☆☆☆☆QM★★★★★75
  • Providence SNF Operator LLC
    Other disclosed role75 res2.74 HPRD
    Overall 2Staffing Staff 1

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
09/01/2017Providence HealthcareProvidence SNF Operator LLCGreen Street Nh, LLCBuyer
  1. 09/01/2017
    Green Street Nh, LLCProvidence SNF Operator LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Providence SNF Operator LLC in FEC filings. Similar names may appear—confirm on FEC.gov.