Pmg OPCO-JENNINGS LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 5496148504 Enrollment ID O20220221000989

Details

Linked facilitiesFacilities
1
StatesStates
1

24 parties: 9 organizations · 15 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Priority Management Group, LLC3476835273OrganizationOperational/Managerial Control; ADP of the SNF100
Steven D Boulware5991839813Individual5% or Greater Direct Ownership Interest; 5% or Greater Indirect Ownership Interest; 5% or Greater Security Interest33.33, 8.33, 41.66
William M Bauder9436335668Individual5% or Greater Indirect Ownership Interest; 5% or Greater Security Interest; Operational/Managerial Control8.33, 33.33
Boulware St James LLC6204086275Organization5% or Greater Direct Ownership Interest; 5% or Greater Security Interest; ADP of the SNF33.33, 33.34
Bauder Family Investments, LLC9931592045Organization5% or Greater Direct Ownership Interest; 5% or Greater Security Interest; ADP of the SNF33.33
Katie B Walker0446384366Individual5% or Greater Indirect Ownership Interest; 5% or Greater Security Interest; ADP of the SNF8.33
Kelly P Bauder7618153842Individual5% or Greater Indirect Ownership Interest; 5% or Greater Security Interest; ADP of the SNF8.33
Madison R Bauder8820481930Individual5% or Greater Indirect Ownership Interest; 5% or Greater Security Interest; ADP of the SNF8.33
Parker C Bauder6103219217Individual5% or Greater Indirect Ownership Interest; 5% or Greater Security Interest; ADP of the SNF8.33
Thomas C Boulware1355475278Individual5% or Greater Indirect Ownership Interest; 5% or Greater Security Interest; ADP of the SNF8.33
Unknown party0547779670OrganizationADP of the SNF
Unknown party1456860584OrganizationADP of the SNF
Unknown party3274042304OrganizationADP of the SNF
Unknown party4183133218OrganizationADP of the SNF
Brian C Wilder6709782089IndividualADP of the SNF
Douglas B Boulware0446161152IndividualADP of the SNF
Robert-thomas Johnson6305230269IndividualADP of the SNF
Unknown party2961911003IndividualADP of the SNF
Christian Bourgeois Stelly1456860592IndividualADP of the SNF
Progressive Rehab Solutions, LLC7618492497OrganizationADP of the SNF
Unknown party0547779688IndividualADP of the SNF
Unknown party4284143322IndividualADP of the SNF
Unknown party5092224121OrganizationADP of the SNF
Unknown party9739698879IndividualADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Camelot Brookside
Pmg OPCO-JENNINGS LLC
112 residents
Other disclo…
3.54Ovr★★★★★Stf★★☆☆☆Ins★★★★QM★★★★★112
  • Pmg OPCO-JENNINGS LLC
    Other disclosed role112 res3.54 HPRD
    Overall 5Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
01/01/2022Camelot BrooksidePmg OPCO-JENNINGS LLCCamelot Brookside LLCBuyer
  1. 01/01/2022
    Camelot Brookside LLCPmg OPCO-JENNINGS LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Pmg OPCO-JENNINGS LLC in FEC filings. Similar names may appear—confirm on FEC.gov.