Fresno Valley SNF, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6608202213 Enrollment ID O20200130000386

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Joshua Matiaco0345616413IndividualW-2 Managing Employee; Operational/Managerial Control
Stephen M Grossman4183521131IndividualContracted Managing Employee
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 Interest41.8
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest; Corporate Officer41.8
Joshua O Jergensen6800024092IndividualCorporate Officer
Frederick G Apt4486043916IndividualCorporate Officer
John T Mitchell0648429498IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Orchard Post Acute
Fresno Valley SNF, LLC
91 residents
Other disclo…
3.98Ovr★★★☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★★★91
  • Fresno Valley SNF, LLC
    Other disclosed role91 res3.98 HPRD
    Overall 3Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
09/17/2019Orchard Post AcuteFresno Valley SNF, LLCValley Healthcare Center, LLCBuyer
  1. 09/17/2019
    Valley Healthcare Center, LLCFresno Valley SNF, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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