Streetcar Healthcare, Inc.

Enrollment entity

Provider / enrollment organization Enrollment PAC 4789031915 Enrollment ID O20231109002793

Linked facilitiesFacilities

StatesStates

7 parties: 2 organizations · 5 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Michael Brooks	9335569235	Individual	W-2 Managing Employee; Operational/Managerial Control	100
Gateway Healthcare LLC	4688843139	Organization	5% or Greater Direct Ownership Interest	100
The Ensign Group Inc	3476460494	Organization	5% or Greater Indirect Ownership Interest	100
Corwin Lewis	1658502349	Individual	Corporate Officer	0
Craig Fitch	7810239670	Individual	Corporate Officer	0
Soon Burnam	9739195553	Individual	Corporate Officer	0
Spencer W Burton	7810131604	Individual	Corporate Director	0

Michael BrooksPAC 9335569235
Individual100W-2 Managing Employee; Operational/Managerial Control
Gateway Healthcare LLCPAC 4688843139
Organization1005% or Greater Direct Ownership Interest
The Ensign Group IncPAC 3476460494
Organization1005% or Greater Indirect Ownership Interest
Corwin LewisPAC 1658502349
Individual0Corporate Officer
Craig FitchPAC 7810239670
Individual0Corporate Officer
Soon BurnamPAC 9739195553
Individual0Corporate Officer
Spencer W BurtonPAC 7810131604
Individual0Corporate Director

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Providence Place Streetcar Healthcare, Inc. 43 residents		Other disclo…	3.80	Ovr★★★★☆Stf★★★★☆Ins★★★☆☆QM★★★★★	43

Providence Place
Streetcar Healthcare, Inc.
Other disclosed role43 res3.80 HPRD
Overall 4Staffing Staff 4

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
10/01/2023	Providence Place	Streetcar Healthcare, Inc.	Prime Healthcare SERVICES-PROVIDENCE, LLC	Buyer

10/01/2023
Providence Place (Buyer)
Prime Healthcare SERVICES-PROVIDENCE, LLC → Streetcar Healthcare, Inc.

Related CMS associates

Name match to Streetcar Healthcare, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.