Cherry Valley SNF Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7517303175 Enrollment ID O20240306002214

Details

Linked facilitiesFacilities
1
StatesStates
1

8 parties: 3 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Novie Sitanggang6709882210IndividualW-2 Managing Employee; Operational/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
Jason H Murray0648228304Individual5% or Greater Indirect Ownership Interest; Corporate Officer50
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest; Corporate Officer50
Frederick G Apt4486043916IndividualCorporate Officer
John T Mitchell0648429498IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Sundance Creek Post Acute
Cherry Valley SNF Healthcare LLC
124 residents
Other disclo…
3.95Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★124
  • Cherry Valley SNF Healthcare LLC
    Other disclosed role124 res3.95 HPRD
    Overall 2Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
06/15/2023Sundance Creek Post AcuteCherry Valley SNF Healthcare LLCCloverleaf Enterprise IncBuyer
  1. 06/15/2023
    Cloverleaf Enterprise IncCherry Valley SNF Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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