Forest Grove SNF Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7719492610 Enrollment ID O20250710004052

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 6 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
David P Larson4688608565IndividualOperational/Managerial Control; ADP of the SNF
Kayla Van Roekel1355856253IndividualOperational/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
Jason H Murray0648228304Individual5% or Greater Indirect Ownership Interest35.2
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest35.2
NHI-REIT of Idaho LP1456861889OrganizationADP of the SNF
Providence Administrative Consulting Services Inc6406094671OrganizationADP of the SNF
Truist Bank6709306079Organization5% or Greater Security Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Forest Grove Post Acute
Forest Grove SNF Healthcare LLC
82 residents
Other disclo…
4.53Ovr★★★★Stf★★★★Ins★★★★QM★★★★82
  • Forest Grove SNF Healthcare LLC
    Other disclosed role82 res4.53 HPRD
    Overall 4Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
09/01/2024Forest Grove Post AcuteForest Grove SNF Healthcare LLCPci Care Venture I Inc.Buyer
  1. 09/01/2024
    Pci Care Venture I Inc.Forest Grove SNF Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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