Edelweiss Holdings, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6800073917 Enrollment ID O20110526000524

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Salina L Wolf9436254091IndividualContracted Managing Employee
Roman Andrus2769927524IndividualW-2 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
Frederick G Apt4486043916IndividualCorporate Officer
John T Mitchell0648429498IndividualCorporate Officer
Joshua O Jergensen6800024092IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Crystal Ridge Care Center
Edelweiss Holdings, LLC
96 residents
Other disclo…
3.70Ovr★★★★Stf★★☆☆☆Ins★★★☆☆QM★★★★★96
  • Edelweiss Holdings, LLC
    Other disclosed role96 res3.70 HPRD
    Overall 4Staffing Staff 2
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