Ensign San Dimas LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8628029592 Enrollment ID O20050208000775

Details

Linked facilitiesFacilities
1
StatesStates
1

13 parties: 8 organizations · 5 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Krunal J Mehta2668506825IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Wacy Johnson4082947288IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Twomagnets LLC3678093127OrganizationOperational/Managerial Control
Soon Burnam9739195553IndividualCorporate Officer; Managing Control - Governing Body0
Flagstone Healthcare Central LLC0648311928Organization5% or Greater Direct Ownership Interest100
The Ensign Group Inc3476460494Organization5% or Greater Indirect Ownership Interest100
Adam Willits3577859644IndividualCorporate Officer0
Barry Port2466457627IndividualCorporate Officer0
Ensign Services Inc3577089093OrganizationADP of the SNF
Arrow Tree Health Holdings LLC5890609333OrganizationADP of the SNF
Caretrust Gp LLC4789104811OrganizationADP of the SNF
Caretrust Reit Inc5496279416OrganizationADP of the SNF
Ctr Partnership LP4587188503OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Arbor Glen Care Center
Ensign San Dimas LLC
86 residents
Other disclo…
4.49Ovr☆☆☆☆Stf★★★☆☆Ins☆☆☆☆QM★★★★86
  • Ensign San Dimas LLC
    Other disclosed role86 res4.49 HPRD
    Overall 1Staffing Staff 3
Related CMS associates

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Name match to Ensign San Dimas LLC in FEC filings. Similar names may appear—confirm on FEC.gov.