Creswell SNF Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6800335217 Enrollment ID O20240829002495

Details

Linked facilitiesFacilities
1
StatesStates
1

14 parties: 6 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Jessica Bookout4082124409IndividualOperational/Managerial Control
Rick Holman4981143393IndividualOperational/Managerial Control; ADP of the SNF
Victor Wallenkampf4880750330IndividualOperational/Managerial Control; ADP of the SNF
Frederick G Apt4486043916IndividualOperational/Managerial Control
John T Mitchell0648429498IndividualOperational/Managerial Control
Joshua O Jergensen6800024092IndividualOperational/Managerial Control
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
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest35.4
Jason H Murray0648228304Individual5% or Greater Indirect Ownership Interest35.2
NHI-REIT of Idaho LP1456861889OrganizationADP of the SNF
Providence Administrative Consulting Services Inc6406094671OrganizationADP of the SNF
Truist Bank6709306079Organization5% or Greater Security Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Creswell Post Acute
Creswell SNF Healthcare LLC
68 residents
Other disclo…
5.04Ovr★★☆☆☆Stf★★★★Ins★★☆☆☆QM★★★☆☆68
  • Creswell SNF Healthcare LLC
    Other disclosed role68 res5.04 HPRD
    Overall 2Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
09/01/2024Creswell Post AcuteCreswell SNF Healthcare LLCCare Center (Laneco) IncBuyer
  1. 09/01/2024
    Care Center (Laneco) IncCreswell SNF Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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