Providence Operator LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6204195613 Enrollment ID O20180110001961

Details

Linked facilitiesFacilities
1
StatesStates
1

23 parties: 19 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Erica Moss2769488717IndividualCorporate Director; Operational/Managerial Control; Managing Control - Governing Body
Reliant Pro Rehab LLC1759768047OrganizationOperational/Managerial Control; ADP of the SNF
Nutraco LLC9436436987OrganizationOperational/Managerial Control; ADP of the SNF
Marquis Limited LLC3173053527OrganizationOperational/Managerial Control; ADP of the SNF
Sammy Hamid0648231183IndividualOperational/Managerial Control; ADP of the SNF
Jonathan Papada4385057165IndividualManaging Control - Governing Body; ADP of the SNF
Quinto Holdings LLC4981849494Organization5% or Greater Direct Ownership Interest; ADP of the SNF90
Ukr Consulting LLC2062657570Organization5% or Greater Direct Ownership Interest; ADP of the SNF10
Tryko Holdings, LLC6204962327Organization5% or Greater Indirect Ownership Interest; ADP of the SNF67.5
Nfr 2020 Irrv Tr6305237520Organization5% or Greater Indirect Ownership Interest; ADP of the SNF22.5
Rsbrmk Holdings LLC5496146615Organization5% or Greater Indirect Ownership Interest; ADP of the SNF22.5
Sk 2013 Delta Trust2769816339Organization5% or Greater Indirect Ownership Interest; ADP of the SNF22.5
Sora Kohn Fam Tr Uad 1201200446642912Organization5% or Greater Indirect Ownership Interest; ADP of the SNF22.5
Yr 2013 Delta Tr Ua 032520137315371986Organization5% or Greater Indirect Ownership Interest; ADP of the SNF22.5
Uak 2020 Irrv Tr9032514625Organization5% or Greater Indirect Ownership Interest; ADP of the SNF9.9
Mindee Posen4789085465IndividualCorporate Officer; ADP of the SNF
Providence Leasehold LLC1951829316OrganizationADP of the SNF
Unknown party4880112242OrganizationADP of the SNF
Unknown party5698293058OrganizationADP of the SNF
Unknown party1052839412OrganizationADP of the SNF
Unknown party3971021338OrganizationADP of the SNF
Unknown party2860910221OrganizationADP of the SNF
Cibc Bank Usa8426229584Organization5% or Greater Security Interest

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Providence Rehab and Hlthcare Ctratmercyfitzgerald
Providence Operator LLC
120 residents
Other disclo…
3.57Ovr★★★☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★★120

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
01/04/2018Providence Rehab and Hlthcare CtratmercyfitzgeraldProvidence Operator LLCMERCY/MANOR PartnershipBuyer
  1. 01/04/2018
    MERCY/MANOR PartnershipProvidence Operator LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Providence Operator LLC in FEC filings. Similar names may appear—confirm on FEC.gov.