Ahc of Paradise Valley LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 5890046379 Enrollment ID O20180921002046

Details

Linked facilitiesFacilities
1
StatesStates
1

14 parties: 11 organizations · 3 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Lupeni Matangi0345501011IndividualOperational/Managerial Control
New Ahc Holdings, LLC2466854633Organization5% or Greater Direct Ownership Interest; ADP of the SNF100
Advanced Health Care - Larry H Miller Corporation1557763729Organization5% or Greater Indirect Ownership Interest100
The Gail Miller Gst Trust6002218278Organization5% or Greater Indirect Ownership Interest72.3
The Karen Gail Miller Irrevocable Trust for the Benefit of Karen R. Wi6406220367Organization5% or Greater Indirect Ownership Interest5.1
The Karen Gail Miller Irrevocable Trust for the Benefit of Roger L. MI1052835089Organization5% or Greater Indirect Ownership Interest5.1
The Karen Gail Miller Irrevocable Trust for the Benefit of Stephen F.0143744177Organization5% or Greater Indirect Ownership Interest5.1
The Bryan Miller Utah Dynasty Trust Dated April 22, 20143375945546OrganizationIndirect Ownership Interest3.8
The G&H Miller Utah Trust Dated February 26, 20194284036450OrganizationIndirect Ownership Interest2.5
Nathan C Oxnam9931296076IndividualCorporate Officer
Jason T Gubler8426371097IndividualADP of the SNF
Unknown party7315466539OrganizationADP of the SNF
Unknown party8224557442OrganizationADP of the SNF
Lhmsh LLC2961926993OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Advanced Health Care of Paradise
Ahc of Paradise Valley LLC
38 residents
Other disclo…
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Related CMS associates

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Name match to Ahc of Paradise Valley LLC in FEC filings. Similar names may appear—confirm on FEC.gov.