Skilled San Dimas LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6204275787 Enrollment ID O20240417000108

Details

Linked facilitiesFacilities
1
StatesStates
1

9 parties: 3 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Tanner Peterson5799150397IndividualOperational/Managerial Control; ADP of the SNF
Scott Kirby2466875422IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Bayshire Continuing Care LLC7315386729OrganizationIndirect Ownership Interest100
Golden State Care Holdings LLC2466869599OrganizationIndirect Ownership Interest100
Rick M Hirsch1759294465IndividualADP of the SNF
Ricky Cruz Villanueva6608221957IndividualADP of the SNF
Bayshire LLC5193132223OrganizationADP of the SNF
Chad Coleman4688029572IndividualADP of the SNF
Jason Parrott3971023052IndividualADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Bayshire San Dimas POST-ACUTE
Skilled San Dimas LLC
39 residents
Other disclo…
4.42Ovr★★★★Stf★★★★Ins★★★☆☆QM★★★★★39

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
04/01/2024Bayshire San Dimas POST-ACUTESkilled San Dimas LLCGensandimas LLCBuyer
  1. 04/01/2024
    Gensandimas LLCSkilled San Dimas LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Skilled San Dimas LLC in FEC filings. Similar names may appear—confirm on FEC.gov.