Fairhaven Opco, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 5395045405 Enrollment ID O20151120002749

Details

Linked facilitiesFacilities
1
StatesStates
1

17 parties: 8 organizations · 9 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Gregory J Mitchell6608068994IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF0
Jason Shelton3072606003IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Cynthia Z Pinson9032130166IndividualOperational/Managerial Control; ADP of the SNF
Katrina Kappen1658866918IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Eddy R Stockton6204857410IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Christopher Cox8628439759IndividualOperational/Managerial Control; ADP of the SNF
Mary-jesse Mathis0749775005IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Holly Tichenor9032615364IndividualManaging Control - Governing Body; ADP of the SNF
Mph Trust5597250845OrganizationDirect Ownership Interest100
Unknown party1052806304OrganizationADP of the SNF
Unknown party6507351855OrganizationADP of the SNF
Unknown party8325533672OrganizationADP of the SNF
Carmen Young1951807288IndividualADP of the SNF
Providence Health, LLC2961908298OrganizationADP of the SNF
Unknown party2961997218OrganizationADP of the SNF
Unknown party5698260941OrganizationADP of the SNF
The Providence Groups, LLC1052817384OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Madison Park Healthcare
Fairhaven Opco, LLC
40 residents
Other disclo…
3.84Ovr★★★★★Stf★★★★Ins★★★★★QM★★★★40
  • Fairhaven Opco, LLC
    Other disclosed role40 res3.84 HPRD
    Overall 5Staffing Staff 4
Related CMS associates

FEC political contributions FEC contributions Beta

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