Moreno Valley SNF LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8820331184 Enrollment ID O20190530000889

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Carson Mccusker2567860703IndividualW-2 Managing Employee; Operational/Managerial Control
Alejandra Arambula3375086317IndividualContracted 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
Rancho Bellagio Post Acute
Moreno Valley SNF LLC
91 residents
Other disclo…
4.32Ovr★★★★Stf★★★☆☆Ins★★★☆☆QM★★★★★91
  • Moreno Valley SNF LLC
    Other disclosed role91 res4.32 HPRD
    Overall 4Staffing Staff 3
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Name match to Moreno Valley SNF LLC in FEC filings. Similar names may appear—confirm on FEC.gov.