Heartwood Avenue LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4486017993 Enrollment ID O20230831001735

Details

Linked facilitiesFacilities
1
StatesStates
1

9 parties: 1 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Bryan Boehrer4688985708Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF50
Richard Martin8527296896Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF50
Nischal Thapa1456837541IndividualOperational/Managerial Control; ADP of the SNF
Loisangelica Basconcillo2264910116IndividualOperational/Managerial Control; ADP of the SNF
Ma. Therese Dizon6800374752IndividualOperational/Managerial Control; ADP of the SNF
Ryan Taylor8527546472IndividualOperational/Managerial Control; ADP of the SNF
Gurpreet Dhugga7315086675IndividualOperational/Managerial Control; ADP of the SNF
Redentor Batin Calabazaron2365928454IndividualOperational/Managerial Control; ADP of the SNF
Bvhc, LLC1355680588Organization5% or Greater Direct Ownership Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Heartwood Avenue Healthcare
Heartwood Avenue LLC
56 residents
Other disclo…
3.83Ovr★★★☆☆Stf★★☆☆☆Ins★★★☆☆QM★★★★56
  • Heartwood Avenue LLC
    Other disclosed role56 res3.83 HPRD
    Overall 3Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
02/01/2023Heartwood Avenue HealthcareHeartwood Avenue LLCEvergreen at Heartwood Avenue, L.L.C.Buyer
  1. 02/01/2023
    Evergreen at Heartwood Avenue, L.L.C.Heartwood Avenue LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Heartwood Avenue LLC in FEC filings. Similar names may appear—confirm on FEC.gov.