Villa De La Mar Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 7517879208 Enrollment ID O20031024000052

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Tyler S De Jong9234436353IndividualContracted Managing Employee
Dallin Benson8729525951IndividualW-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
Bel Vista Healthcare Center
Villa De La Mar Inc
38 residents
Other disclo…
4.65Ovr★★★★Stf★★★☆☆Ins★★★☆☆QM★★★★★38
  • Villa De La Mar Inc
    Other disclosed role38 res4.65 HPRD
    Overall 4Staffing Staff 3
Related CMS associates

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Name match to Villa De La Mar Inc in FEC filings. Similar names may appear—confirm on FEC.gov.