Pmg OPCO-LEWISVILLE LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8123560265 Enrollment ID O20240605000449

Details

Linked facilitiesFacilities
1
StatesStates
1

19 parties: 8 organizations · 11 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Genevy Rodriguez7618352584IndividualOperational/Managerial Control; ADP of the SNF
Boulware St James LLC6204086275Organization5% or Greater Direct Ownership Interest33.34
Bauder Family Investments, LLC9931592045Organization5% or Greater Direct Ownership Interest33.33
Steven Boulware Family Investments LLC9830631977Organization5% or Greater Direct Ownership Interest33.33
Steven D Boulware5991839813Individual5% or Greater Indirect Ownership Interest; Corporate Officer; ADP of the SNF41.66
Douglas B Boulware0446161152Individual5% or Greater Indirect Ownership Interest; ADP of the SNF8.34
Katie B Walker0446384366Individual5% or Greater Indirect Ownership Interest; ADP of the SNF8.34
Kelly P Bauder7618153842Individual5% or Greater Indirect Ownership Interest; ADP of the SNF8.34
Parker C Bauder6103219217Individual5% or Greater Indirect Ownership Interest; ADP of the SNF8.34
Sandra Boulware3870544471Individual5% or Greater Indirect Ownership Interest; ADP of the SNF8.34
Thomas C Boulware1355475278Individual5% or Greater Indirect Ownership Interest; ADP of the SNF8.34
William M Bauder9436335668Individual5% or Greater Indirect Ownership Interest; Corporate Officer; ADP of the SNF8.34
Bobbie Miller8921440272IndividualCorporate Officer
Bridgepointe Finanical Services, LLC3072038843OrganizationADP of the SNF
Innovative Nurse Consulting, LLC6709301575OrganizationADP of the SNF
Madison R Bauder8820481930IndividualADP of the SNF
Pmg REALCO-LEWISVILLE, LLC0143712455OrganizationADP of the SNF
Priority Management Group, LLC3476835273OrganizationADP of the SNF
Progressive Rehab Solutions, LLC7618492497OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Vista Ridge Nursing & Rehabilitation Center
Pmg OPCO-LEWISVILLE LLC
82 residents
Other disclo…
3.46Ovr★★★★Stf★★☆☆☆Ins★★★☆☆QM★★★★★82

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
04/01/2024Vista Ridge Nursing & Rehabilitation CenterPmg OPCO-LEWISVILLE LLCPm Management - Lewisville Nc LLCBuyer
  1. 04/01/2024
    Pm Management - Lewisville Nc LLCPmg OPCO-LEWISVILLE LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Pmg OPCO-LEWISVILLE LLC in FEC filings. Similar names may appear—confirm on FEC.gov.