Mesa Vista Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8527423169 Enrollment ID O20230503001984

Details

Linked facilitiesFacilities
1
StatesStates
1

11 parties: 4 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Lee Anneberg3678507720IndividualContracted Managing Employee
Aaron Carlson7416491741IndividualW-2 Managing Employee
Centennial Master Tenant, LLC0941675268Organization5% or Greater Direct Ownership Interest
Pacs Group, Inc.7911360011Organization5% or Greater Indirect Ownership Interest100
Pacs Holdings, LLC6103289202Organization5% or Greater Indirect Ownership Interest100
Providence Group Nh, LLC5294198396Organization5% 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
Boulder Post Acute
Mesa Vista Healthcare LLC
136 residents
Other disclo…
3.31Ovr★★★★Stf★★★☆☆Ins★★★☆☆QM★★★★★136
  • Mesa Vista Healthcare LLC
    Other disclosed role136 res3.31 HPRD
    Overall 4Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
02/01/2023Boulder Post AcuteMesa Vista Healthcare LLCBuckeye M LLCBuyer
  1. 02/01/2023
    Buckeye M LLCMesa Vista Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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