Lime Ridge Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7618331406 Enrollment ID O20230912003763

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Vasili Dzerhachou1052614336IndividualContracted Managing Employee
Forrest Allen6002272747IndividualW-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
Concord Post Acute
Lime Ridge Healthcare LLC
188 residents
Other disclo…
3.87Ovr★★☆☆☆Stf★★★★Ins★★☆☆☆QM★★★★188
  • Lime Ridge Healthcare LLC
    Other disclosed role188 res3.87 HPRD
    Overall 2Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
05/01/2023Concord Post AcuteLime Ridge Healthcare LLCTranquility IncorporatedBuyer
  1. 05/01/2023
    Tranquility IncorporatedLime Ridge Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Lime Ridge Healthcare LLC in FEC filings. Similar names may appear—confirm on FEC.gov.