Italian Maple Holdings LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8123938321 Enrollment ID O20030611000035

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Loren S Novak7517908296IndividualContracted Managing Employee
Jonathan T Duerden2668855966IndividualW-2 Managing Employee
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 Interest41.8
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest; Corporate Officer41.8
Frederick G Apt4486043916IndividualCorporate Officer
John T Mitchell0648429498IndividualCorporate Officer
Joshua O Jergensen6800024092IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
La Paloma Healthcare Center
Italian Maple Holdings LLC
84 residents
Other disclo…
3.95Ovr★★★★★Stf★★★☆☆Ins★★★★★QM★★★★★84
  • Italian Maple Holdings LLC
    Other disclosed role84 res3.95 HPRD
    Overall 5Staffing Staff 3
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Italian Maple Holdings LLC in FEC filings. Similar names may appear—confirm on FEC.gov.