Mavericks Beach, LLC

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 8325564545 Enrollment ID O20250430000929

Facilities by state

  • OR1

Details

Linked facilitiesFacilities
1

7 parties: 1 organizations · 6 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Julie Johansen4284883935IndividualOperational/Managerial Control; ADP of the SNF
Stephen Sanchez9931625159IndividualOperational/Managerial Control; ADP of the SNF
Kalesta Healthcare Group, LLC7810240488Organization5% or Greater Direct Ownership Interest100
Ryan Williams6002043015Individual5% or Greater Indirect Ownership Interest; Corporate Officer44.05
Scott Clawson0648409938Individual5% or Greater Indirect Ownership Interest; Corporate Officer44.05
Micah Porter1658750799Individual5% or Greater Indirect Ownership Interest7
Scott Clawson4385644368IndividualIndirect Ownership Interest4.9

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Saint Helens Post Acute
Mavericks Beach, LLC
80 residents
Other disclo…
4.21Ovr★★☆☆☆Stf★★★★Ins☆☆☆☆QM★★★★★80
  • Mavericks Beach, LLC
    Other disclosed role80 res4.21 HPRD
    Overall 2Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
06/01/2025Saint Helens Post AcuteMavericks Beach, LLCMeadow Park Health - St Helen LLCBuyer
  1. 06/01/2025
    Meadow Park Health - St Helen LLCMavericks Beach, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Mavericks Beach, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.