Psh Km LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7810362829 Enrollment ID O20230405000474

Details

Linked facilitiesFacilities
1
StatesStates
1

8 parties: 1 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Randall H Ito7315194594IndividualCorporate Officer; W-2 Managing Employee; Operational/Managerial Control0, 100
Pacific Skilled Healthcare LLC7113392127Organization5% or Greater Direct Ownership Interest100
Spencer E Olsen1355245762Individual5% or Greater Indirect Ownership Interest; Corporate Officer72.5, 0
Aaron Mayer8527363613Individual5% or Greater Indirect Ownership Interest15
Kristen Sorensen7719351188Individual5% or Greater Indirect Ownership Interest12.5
Brian Pang2062743107IndividualCorporate Officer0
Cynthia LC Yoshida0244335800IndividualCorporate Officer0
Tyrus Lefler5193955979IndividualCorporate Officer0

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Kulana Malama
Psh Km LLC
34 residents
Other disclo…
9.84Ovr★★★★★Stf★★★★Ins★★★★QM★★★★★34
  • Psh Km LLC
    Other disclosed role34 res9.84 HPRD
    Overall 5Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
02/01/2023Kulana MalamaPsh Km LLCPediahealth CorpBuyer
  1. 02/01/2023
    Pediahealth CorpPsh Km LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Psh Km LLC in FEC filings. Similar names may appear—confirm on FEC.gov.