Marinidence Opco LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4688951668 Enrollment ID O20170428001131

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Dominic Joseph Picetti8325441363IndividualContracted Managing Employee
Ethan D Flake0446636948IndividualW-2 Managing Employee
Providence Group North LLC3476830456Organization5% or Greater Direct Ownership Interest100
Pacs Group, Inc.7911360011Organization5% or Greater Indirect Ownership Interest100
Pacs Holdings, LLC6103289202Organization5% 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 Role / stake HPRD Ratings Census Flags
Marin Post Acute
Marinidence Opco LLC
146 residents
Other disclo…
3.68Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★146
  • Marinidence Opco LLC
    Other disclosed role146 res3.68 HPRD
    Overall 2Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
03/01/2017Marin Post AcuteMarinidence Opco LLCRafael Convalescent HospitalBuyer
  1. 03/01/2017
    Rafael Convalescent HospitalMarinidence Opco LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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