Colonial Vista SNF Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7517406408 Enrollment ID O20240822003875

Details

Linked facilitiesFacilities
1
StatesStates
1

14 parties: 6 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Matthew Hammonds6305340449IndividualOperational/Managerial Control; ADP of the SNF
Camille Jones2668976713IndividualOperational/Managerial Control
Kyra Carpenter5890018519IndividualOperational/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 Interest41.8
Jason H Murray0648228304Individual5% or Greater Indirect Ownership Interest35.2
Providence Administrative Consulting Services Inc6406094671OrganizationADP of the SNF
Wenatchee 625 Realty LLC7416451562OrganizationADP of the SNF
Truist Bank6709306079Organization5% or Greater Security Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Colonial Vista POST-ACUTE & Rehab Center
Colonial Vista SNF Healthcare LLC
81 residents
Other disclo…
3.89Ovr★★★★Stf★★★☆☆Ins★★★★QM★★★★81

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
08/01/2024Colonial Vista POST-ACUTE & Rehab CenterColonial Vista SNF Healthcare LLCCare Center Wenatchee IncBuyer
  1. 08/01/2024
    Care Center Wenatchee IncColonial Vista SNF Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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