Petaluma SNF Healthcare, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6709243231 Enrollment ID O20230526002478

Details

Linked facilitiesFacilities
1
StatesStates
1

7 parties: 0 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Riley W Tucker1355717661IndividualW-2 Managing Employee; Operational/Managerial Control
Dominic Joseph Picetti8325441363IndividualContracted Managing Employee
Jason H Murray0648228304Individual5% or Greater Indirect Ownership Interest41.8
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest; Corporate Officer41.8
Frederick G Apt4486043916IndividualCorporate Officer
John T Mitchell0648429498IndividualCorporate Officer
Joshua O Jergensen6800024092IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Ridgeway Post Acute
Petaluma SNF Healthcare, LLC
75 residents
Other disclo…
4.10Ovr☆☆☆☆Stf★★★☆☆Ins☆☆☆☆QM★★★★75
  • Petaluma SNF Healthcare, LLC
    Other disclosed role75 res4.10 HPRD
    Overall 1Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
03/01/2023Ridgeway Post AcutePetaluma SNF Healthcare, LLCWindsor Care Center of Petaluma LLCBuyer
  1. 03/01/2023
    Windsor Care Center of Petaluma LLCPetaluma SNF Healthcare, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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