Dt Valley LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 6406265933 Enrollment ID O20210512002476

Linked facilitiesFacilities

StatesStates

5 parties: 2 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Douglas A Williams	5092724963	Individual	W-2 Managing Employee	—
Dovetail Opco Holdings LLC	2961811229	Organization	5% or Greater Direct Ownership Interest	100
Azria Ventures LLC	1254626948	Organization	5% or Greater Indirect Ownership Interest	100
Aaron Noah Kaminer	7719203785	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer	50
Steven B Hornung	1153616842	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer	50

Douglas A WilliamsPAC 5092724963
IndividualW-2 Managing Employee
Dovetail Opco Holdings LLCPAC 2961811229
Organization1005% or Greater Direct Ownership Interest
Azria Ventures LLCPAC 1254626948
Organization1005% or Greater Indirect Ownership Interest
Aaron Noah KaminerPAC 7719203785
Individual505% or Greater Indirect Ownership Interest; Corporate Officer
Steven B HornungPAC 1153616842
Individual505% or Greater Indirect Ownership Interest; Corporate Officer

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Azria Health Longview Dt Valley LLC 81 residents		Other disclo…	3.81	Ovr★☆☆☆☆Stf★★★☆☆Ins★☆☆☆☆QM★☆☆☆☆	81

Azria Health Longview
Dt Valley LLC
Other disclosed role81 res3.81 HPRD
Overall 1Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
04/01/2021	Azria Health Longview	Dt Valley LLC	Longview Home Inc.	Buyer

Related CMS associates

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