4005 Br SNF, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4385063155 Enrollment ID O20200928002219

Details

Linked facilitiesFacilities
1
StatesStates
1

29 parties: 16 organizations · 13 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Ernest Joseph4183105851IndividualOperational/Managerial Control; ADP of the SNF
John Nnadi8921138546IndividualOperational/Managerial Control; ADP of the SNF
Pcm Holdings I, Inc8123509890Organization5% or Greater Direct Ownership Interest100
St. George LLC4284053059OrganizationDirect Ownership Interest100
Pcm Intermediate Holdings LLC6305344300OrganizationIndirect Ownership Interest100
Pcm Rehab Enterprises LLC2668702580OrganizationIndirect Ownership Interest100
Phoenix SNF Holdings, LLC6002235876OrganizationIndirect Ownership Interest100
Patrick Thomas Mitchell2961312178IndividualCorporate Officer; Indirect Ownership Interest100, 1
Ptm 2018 Family Trust6507195468OrganizationIndirect Ownership Interest99
St. Joseph Holdings LLC6608943832OrganizationADP of the SNF
Unknown party1951882620OrganizationADP of the SNF
Unknown party2769963438OrganizationADP of the SNF
Unknown party5496236168OrganizationADP of the SNF
Unknown party7113408881OrganizationADP of the SNF
Unknown party7214418987OrganizationADP of the SNF
Unknown party8022599794OrganizationADP of the SNF
Unknown party9032690706OrganizationADP of the SNF
Unknown party0547741217IndividualADP of the SNF
Unknown party0648751313IndividualADP of the SNF
Unknown party2466933130IndividualADP of the SNF
Unknown party3375024045IndividualADP of the SNF
Unknown party4688155351OrganizationADP of the SNF
Unknown party5092296764IndividualADP of the SNF
Unknown party5193206860IndividualADP of the SNF
Unknown party6406337179OrganizationADP of the SNF
Show all 29 parties (4 more)
NameOwner/control PACTypeRole(s)%
Ernest Joseph4183105851IndividualOperational/Managerial Control; ADP of the SNF
John Nnadi8921138546IndividualOperational/Managerial Control; ADP of the SNF
Pcm Holdings I, Inc8123509890Organization5% or Greater Direct Ownership Interest100
St. George LLC4284053059OrganizationDirect Ownership Interest100
Pcm Intermediate Holdings LLC6305344300OrganizationIndirect Ownership Interest100
Pcm Rehab Enterprises LLC2668702580OrganizationIndirect Ownership Interest100
Phoenix SNF Holdings, LLC6002235876OrganizationIndirect Ownership Interest100
Patrick Thomas Mitchell2961312178IndividualCorporate Officer; Indirect Ownership Interest100, 1
Ptm 2018 Family Trust6507195468OrganizationIndirect Ownership Interest99
St. Joseph Holdings LLC6608943832OrganizationADP of the SNF
Unknown party1951882620OrganizationADP of the SNF
Unknown party2769963438OrganizationADP of the SNF
Unknown party5496236168OrganizationADP of the SNF
Unknown party7113408881OrganizationADP of the SNF
Unknown party7214418987OrganizationADP of the SNF
Unknown party8022599794OrganizationADP of the SNF
Unknown party9032690706OrganizationADP of the SNF
Unknown party0547741217IndividualADP of the SNF
Unknown party0648751313IndividualADP of the SNF
Unknown party2466933130IndividualADP of the SNF
Unknown party3375024045IndividualADP of the SNF
Unknown party4688155351OrganizationADP of the SNF
Unknown party5092296764IndividualADP of the SNF
Unknown party5193206860IndividualADP of the SNF
Unknown party6406337179OrganizationADP of the SNF
Unknown party6901387679IndividualADP of the SNF
Unknown party7810478583IndividualADP of the SNF
Unknown party7911488689IndividualADP of the SNF
Unknown party9739660408IndividualADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
MID City Community Nursing and Rehab
4005 Br SNF, LLC
113 residents
Other disclo…
3.14Ovr★★★★Stf★★☆☆☆Ins★★★★QM★★☆☆☆113

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
10/01/2020MID City Community Nursing and Rehab4005 Br SNF, LLCCplace University SNF, LLCBuyer
  1. 10/01/2020
    Cplace University SNF, LLC4005 Br SNF, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to 4005 Br SNF, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.