Fountain Valley Community Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6507206711 Enrollment ID O20240503002281

Details

Linked facilitiesFacilities
1
StatesStates
1

9 parties: 3 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Chad Nielsen0547668923IndividualW-2 Managing Employee; Operational/Managerial Control
Providence Group Nh, LLC5294198396Organization5% 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 Interest50
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest50
Frederick G Apt4486043916IndividualCorporate Officer
John T Mitchell0648429498IndividualCorporate Officer
Joshua O Jergensen6800024092IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Fountain Valley Post Acute
Fountain Valley Community Healthcare LLC
138 residents
Other disclo…
4.14Ovr★★★☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★★★138
  • Fountain Valley Community Healthcare LLC
    Other disclosed role138 res4.14 HPRD
    Overall 3Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
02/01/2024Fountain Valley Post AcuteFountain Valley Community Healthcare LLCManor Care of Fountain Valley Ca LLCBuyer
  1. 02/01/2024
    Manor Care of Fountain Valley Ca LLCFountain Valley Community Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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