Mount Lemmon Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6709260334 Enrollment ID O20220831002814

Details

Linked facilitiesFacilities
1
StatesStates
1

12 parties: 6 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Michael Bostwick0345624987IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF0
Kiyan Rad0143592881IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Soon Burnam9739195553IndividualCorporate Officer; Managing Control - Governing Body0
Bandera Healthcare LLC4486654175Organization5% or Greater Direct Ownership Interest100
The Ensign Group Inc3476460494Organization5% or Greater Indirect Ownership Interest; ADP of the SNF100
Barry Port2466457627IndividualCorporate Officer0
Chad Keetch6507082955IndividualCorporate Officer
Forrest Peterson3779625447IndividualCorporate Director0
Unknown party4082100748OrganizationADP of the SNF
Standard Bearer Healthcare Op, LP7012433535OrganizationADP of the SNF
Unknown party3173019833OrganizationADP of the SNF
Unknown party5991291650OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Villa Maria Post Acute and Rehabilitation
Mount Lemmon Healthcare LLC
57 residents
Other disclo…
3.51Ovr★★★☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★★57

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
07/01/2022Villa Maria Post Acute and RehabilitationMount Lemmon Healthcare LLCVilla Maria Care Center, LLCBuyer
  1. 07/01/2022
    Villa Maria Care Center, LLCMount Lemmon Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Mount Lemmon Healthcare LLC in FEC filings. Similar names may appear—confirm on FEC.gov.