Kingman No 1 LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6901840784 Enrollment ID O20050613000913

Details

Linked facilitiesFacilities
1
StatesStates
1

15 parties: 9 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Daniel Itano6002131067IndividualOperational/Managerial Control; ADP of the SNF
Helen Blackwell-scott1658648852IndividualOperational/Managerial Control; ADP of the SNF
Todd Beaird4789079096IndividualOperational/Managerial Control; ADP of the SNF
Sovereign Healthcare Group LLC2365827185OrganizationOperational/Managerial Control; ADP of the SNF
AGH1 LLC8123547528OrganizationOperational/Managerial Control; ADP of the SNF
Donald B Bedell5092623827IndividualOperational/Managerial Control
Circle B Enterprises Holding Company Inc4183532914Organization5% or Greater Direct Ownership Interest100
Forvis Mazars LLP7416866603OrganizationADP of the SNF
Fg LLC2668991068OrganizationADP of the SNF
MID States Inc2769901164OrganizationADP of the SNF
Dcb Real Estate Partnership LP6901921279OrganizationADP of the SNF
Kingman Properties LLC0749790665OrganizationADP of the SNF
Unknown party0648780569IndividualADP of the SNF
Unknown party8820508740IndividualADP of the SNF
Van De Ven LLC3577082973OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Desert Highlands Care Center
Kingman No 1 LLC
74 residents
Other disclo…
3.82Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM★★★☆☆74
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Kingman No 1 LLC in FEC filings. Similar names may appear—confirm on FEC.gov.