Timberline SNF Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8123533957 Enrollment ID O20250711002008

Details

Linked facilitiesFacilities
1
StatesStates
1

14 parties: 6 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Xin Wang9032345442IndividualOperational/Managerial Control; ADP of the SNF
Anne Haddock4880828995IndividualOperational/Managerial Control; ADP of the SNF
Franki Maier8325546021IndividualOperational/Managerial Control
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
Timberline Post Acute
Timberline SNF Healthcare LLC
60 residents
Other disclo…
4.68Ovr★★★★★Stf★★★★Ins★★★★QM★★★★★60
  • Timberline SNF Healthcare LLC
    Other disclosed role60 res4.68 HPRD
    Overall 5Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

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

FEC political contributions FEC contributions Beta

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