Fairfax Healthcare, LLC

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 6800251976 Enrollment ID O20230424002264

Facilities by state

  • CA1

Details

Linked facilitiesFacilities
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Andrew Hyder5294101432IndividualW-2 Managing Employee; Operational/Managerial Control
Alfred Rahban1052495967IndividualContracted 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 % Own. HPRD Ratings Census Flags
Kennedy Care Center
Fairfax Healthcare, LLC
89 residents
Other disclo…
4.06Ovr☆☆☆☆Stf★★☆☆☆Ins☆☆☆☆QM★★★★89
  • Fairfax Healthcare, LLC
    Other disclosed role89 res4.06 HPRD
    Overall 1Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
08/01/2022Kennedy Care CenterFairfax Healthcare, LLCMek Kennedy, LLCBuyer
  1. 08/01/2022
    Mek Kennedy, LLCFairfax Healthcare, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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