Sunnyside SNF Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8729525910 Enrollment ID O20240806001778

Details

Linked facilitiesFacilities
1
StatesStates
1

14 parties: 6 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Elaine Hissam8022513506IndividualOperational/Managerial Control—
James Duncan9032614656IndividualOperational/Managerial Control; ADP of the SNF—
Stanley Flemming7214828797IndividualOperational/Managerial Control; ADP of the SNF—
Frederick G Apt4486043916IndividualOperational/Managerial Control—
John T Mitchell0648429498IndividualOperational/Managerial Control—
Show all 14 parties (9 more)
NameOwner/control PACTypeRole(s)%
Elaine Hissam8022513506IndividualOperational/Managerial Control—
James Duncan9032614656IndividualOperational/Managerial Control; ADP of the SNF—
Stanley Flemming7214828797IndividualOperational/Managerial Control; ADP of the SNF—
Frederick G Apt4486043916IndividualOperational/Managerial Control—
John T Mitchell0648429498IndividualOperational/Managerial Control—
Joshua O Jergensen6800024092IndividualOperational/Managerial Control—
Jason H Murray0648228304Individual5% or Greater Indirect Ownership Interest35.20
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest35.20
Providence Group Nh, LLC5294198396OrganizationDirect Ownership Interest100.00
PACS Group, Inc.7911360011OrganizationIndirect Ownership Interest100.00
PACS Holdings, LLC6103289202OrganizationIndirect Ownership Interest100.00
Providence Administrative Consulting Services Inc6406094671OrganizationADP of the SNF—
Unknown Party7113422601OrganizationADP of the SNF—
Truist Bank6709306079Organization5% or Greater Security Interest100.00

Linked facilities

CMS enrollment records associate Sunnyside SNF Healthcare LLC with 1 nursing home shown on PBJ320.

Facility Location Role / stake HPRD Ratings Census Flags
Sunnyside Healthcare Center
Sunnyside SNF Healthcare LLC
76 residents
Other disclo…
3.62Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM★★★★☆76
  • Sunnyside SNF Healthcare LLC
    Other disclosed role76 res3.62 HPRD
    Overall 3Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
08/01/2024Sunnyside Healthcare CenterSunnyside SNF Healthcare LLCCare Center Sunnyside, IncBuyer
  1. 08/01/2024
    Care Center Sunnyside, Inc → Sunnyside SNF Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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