Havasu Nursing Center #2 Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 4880638683 Enrollment ID O20050613001089

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 7 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Stacy Lynn Smith7810486586IndividualOperational/Managerial Control; ADP of the SNF
Sovereign Healthcare Group LLC2365827185OrganizationOperational/Managerial Control; ADP of the SNF
AGH1 LLC8123547528OrganizationOperational/Managerial Control; ADP of the SNF
Angelo Ong-veloso7719029925IndividualOperational/Managerial Control; ADP of the SNF
Donald B Bedell5092623827IndividualCorporate Officer; Corporate Director; Operational/Managerial Control
Circle B Enterprises Holding Company Inc4183532914Organization5% or Greater Direct Ownership Interest; ADP of the SNF100
Todd Beaird4789079096IndividualCorporate Officer; ADP of the SNF0
Forvis Mazars LLP7416866603OrganizationADP of the SNF
Fg LLC2668991068OrganizationADP of the SNF
MID States Inc2769901164OrganizationADP of the SNF
Unknown party6709381569IndividualADP of the SNF
Unknown party8426553280IndividualADP of the SNF
Van De Ven LLC3577082973OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Havasu Nursing Center
Havasu Nursing Center #2 Inc
49 residents
Other disclo…
3.09Ovr★★★☆☆Stf★★☆☆☆Ins★★★☆☆QM★★★☆☆49
  • Havasu Nursing Center #2 Inc
    Other disclosed role49 res3.09 HPRD
    Overall 3Staffing Staff 2
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Havasu Nursing Center #2 Inc in FEC filings. Similar names may appear—confirm on FEC.gov.