Mt Rubidouxidence Opco LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 5991016289 Enrollment ID O20150611003438

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Luther B Mangoba2466403860IndividualContracted Managing Employee
Eric Hyder6901284793IndividualW-2 Managing Employee
Providence Group of Southern California LLC7214258912Organization5% or Greater Direct Ownership Interest100
Pacs Group, Inc.7911360011Organization5% or Greater Indirect Ownership Interest100
Pacs Holdings, LLC6103289202Organization5% or Greater Indirect Ownership Interest100
Jason H Murray0648228304Individual5% or Greater Indirect Ownership Interest41.8
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest; Corporate Officer41.8
Frederick G Apt4486043916IndividualCorporate Officer
John T Mitchell0648429498IndividualCorporate Officer
Joshua O Jergensen6800024092IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Jurupa Hills Post Acute
Mt Rubidouxidence Opco LLC
133 residents
Other disclo…
4.08Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★133
  • Mt Rubidouxidence Opco LLC
    Other disclosed role133 res4.08 HPRD
    Overall 2Staffing Staff 2
Related CMS associates

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