Montecito Community Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7214411727 Enrollment ID O20260324000242

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 6 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Daniel Mortensen7618443938IndividualOperational/Managerial Control; ADP of the SNF
Khoa D Le0143240754IndividualOperational/Managerial Control; ADP of the SNF
Nanette Lukban8527534841IndividualOperational/Managerial Control; ADP of the SNF
John T Mitchell0648429498IndividualCorporate Officer; Managing Control - Governing Body
Joshua O Jergensen6800024092IndividualCorporate Officer; Managing Control - Governing Body
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 Interest35.2
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest; Corporate Officer35.2
6650 Grand Montecito Parkway, LLC4587148093OrganizationADP of the SNF
Providence Administrative Consulting Services Inc6406094671OrganizationADP of the SNF
Zoozen LLC1759811474OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Skye Canyon Post Acute
Montecito Community Healthcare LLC
42 residents
Other disclo…
5.11Ovr★★★★★Stf★★★☆☆Ins★★★★★QM★★★★42
  • Montecito Community Healthcare LLC
    Other disclosed role42 res5.11 HPRD
    Overall 5Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
06/01/2024Skye Canyon Post AcuteMontecito Community Healthcare LLCMission Point of Las Vegas LLCBuyer
  1. 06/01/2024
    Mission Point of Las Vegas LLCMontecito Community Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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