Haven of Camp Verde LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8123263977 Enrollment ID O20130326000542

Details

Linked facilitiesFacilities
1
StatesStates
1

17 parties: 5 organizations · 12 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Stephen Samuelian3375453392Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF36.73
Spencer R Samuelian5890930770Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF25.21
Robert Samuelian4284544206Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF20.13
Christian R West0345485223Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF6.4
Jason J Seastrand8426373853IndividualOperational/Managerial Control; ADP of the SNF; Direct Ownership Interest3.92
Health Group Management LLC9931637840OrganizationOperational/Managerial Control; ADP of the SNF
Stephanie Espinosa6103354022IndividualOperational/Managerial Control; ADP of the SNF
Rodrigo Santos2466984943IndividualOperational/Managerial Control; ADP of the SNF
Debra Comeau9133642283IndividualOperational/Managerial Control; ADP of the SNF
Neeraj K Vij0547340325IndividualOperational/Managerial Control; ADP of the SNF
Lindsay Fragoso8820526742IndividualOperational/Managerial Control; ADP of the SNF
Stock Longhurst9830627751IndividualOperational/Managerial Control; ADP of the SNF
Haven Health Group LLC9638314511Organization5% or Greater Direct Ownership Interest100
Brett P Robertson9234273772Individual5% or Greater Direct Ownership Interest; ADP of the SNF; Direct Ownership Interest7.61
Haven Arizona Real Estate, LLC1759819667Organization5% or Greater Mortgage Interest; ADP of the SNF100
Haven Camp Verde Real Estate LLC1052834108Organization5% or Greater Mortgage Interest; ADP of the SNF100
Haven Real Estate Partners, LLC0840728754Organization5% or Greater Mortgage Interest; ADP of the SNF100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Haven of Camp Verde
Haven of Camp Verde LLC
48 residents
Other disclo…
3.13Ovr★★★☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★★★48
  • Haven of Camp Verde LLC
    Other disclosed role48 res3.13 HPRD
    Overall 3Staffing Staff 3
Related CMS associates

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Name match to Haven of Camp Verde LLC in FEC filings. Similar names may appear—confirm on FEC.gov.