Pine Meadowsidence Opco LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 3870711419 Enrollment ID O20140824000077

Details

Linked facilitiesFacilities
1
StatesStates
1

11 parties: 4 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
John W Richard2062316102IndividualContracted Managing Employee
Tanner Tippetts1951845197IndividualW-2 Managing Employee
Providence Group of Kentucky LLC4789802307Organization5% or Greater Direct Ownership Interest100
Pacs Group, Inc.7911360011Organization5% or Greater Indirect Ownership Interest100
Pacs Holdings, LLC6103289202Organization5% or Greater Indirect Ownership Interest100
Providence Group Nh, LLC5294198396Organization5% or Greater Indirect Ownership Interest100
Jason H Murray0648228304Individual5% or Greater Indirect Ownership Interest41.8
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest; Corporate Officer41.8
Frederick G Apt4486043916IndividualCorporate Officer
John T Mitchell0648429498IndividualCorporate Officer
Joshua O Jergensen6800024092IndividualCorporate Officer

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Pine Meadows Post Acute
Pine Meadowsidence Opco LLC
115 residents
Other disclo…
3.62Ovr★★☆☆☆Stf☆☆☆☆Ins★★★☆☆QM★★★★115
  • Pine Meadowsidence Opco LLC
    Other disclosed role115 res3.62 HPRD
    Overall 2Staffing Staff 1
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Name match to Pine Meadowsidence Opco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.