Kern Valleyidence Opco LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7618252990 Enrollment ID O20170329001022

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 4 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Bryce Blood2264808435IndividualW-2 Managing Employee; Operational/Managerial Control
Providence Group Wine Country LLC0547545543Organization5% or Greater Direct Ownership Interest100
Pacs Group, Inc.7911360011Organization5% or Greater Indirect Ownership Interest100
Pacs Holdings, LLC6103289202Organization5% or Greater Indirect Ownership Interest100
Providence Group Nh, LLC5294198396Organization5% 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
San Joaquin Nursing Center and Rehabilitation Cent
Kern Valleyidence Opco LLC
92 residents
Other disclo…
4.28Ovr★★★☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★★★92

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
12/16/2016San Joaquin Nursing Center and Rehabilitation CentKern Valleyidence Opco LLCBeverly Health and Rehabilitiation Services, IncBuyer
  1. 12/16/2016
    Beverly Health and Rehabilitiation Services, IncKern Valleyidence Opco LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Kern Valleyidence Opco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.