Lacamas Creek SNF Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 5395282552 Enrollment ID O20240806000665

Details

Linked facilitiesFacilities
1
StatesStates
1

14 parties: 6 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Andrea Kalinowski1951574334IndividualOperational/Managerial Control; ADP of the SNF
Olga Orlovskaya0244731537IndividualOperational/Managerial Control; ADP of the SNF
Matthew David Van Auken5294954285IndividualOperational/Managerial Control; ADP of the SNF
Frederick G Apt4486043916IndividualOperational/Managerial Control; Managing Control - Governing Body
John T Mitchell0648429498IndividualOperational/Managerial Control; Managing Control - Governing Body
Joshua O Jergensen6800024092IndividualOperational/Managerial Control; Managing Control - Governing Body
Jason H Murray0648228304Individual5% or Greater Indirect Ownership Interest35.2
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest35.2
Providence Group Nh, LLC5294198396OrganizationDirect Ownership Interest100
Pacs Group, Inc.7911360011OrganizationIndirect Ownership Interest100
Pacs Holdings, LLC6103289202OrganizationIndirect Ownership Interest100
Providence Administrative Consulting Services Inc6406094671OrganizationADP of the SNF
Unknown party1951802255OrganizationADP of the SNF
Truist Bank6709306079Organization5% or Greater Security Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Lacamas Creek Post Acute
Lacamas Creek SNF Healthcare LLC
76 residents
Other disclo…
4.63Ovr★★★★★Stf★★★★Ins★★★★★QM★★★★76
  • Lacamas Creek SNF Healthcare LLC
    Other disclosed role76 res4.63 HPRD
    Overall 5Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
08/01/2024Lacamas Creek Post AcuteLacamas Creek SNF Healthcare LLCCare Center Camas, IncBuyer
  1. 08/01/2024
    Care Center Camas, IncLacamas Creek SNF Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Lacamas Creek SNF Healthcare LLC in FEC filings. Similar names may appear—confirm on FEC.gov.