Lakeport Post Acute, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7517222524 Enrollment ID O20180522002248

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Jamison D Feramisco4688724602IndividualContracted Managing Employee
Corbyn Oliver Ploeger9234674128IndividualW-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
Lakeport Post Acute
Lakeport Post Acute, LLC
78 residents
Other disclo…
3.51Ovr★★★☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★★★78
  • Lakeport Post Acute, LLC
    Other disclosed role78 res3.51 HPRD
    Overall 3Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
04/01/2018Lakeport Post AcuteLakeport Post Acute, LLCEvergreen at Lakeport LLCBuyer
  1. 04/01/2018
    Evergreen at Lakeport LLCLakeport Post Acute, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Lakeport Post Acute, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.