Sullivan SNF Healthcare LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8921547852 Enrollment ID O20240823000630

Details

Linked facilitiesFacilities
1
StatesStates
1

14 parties: 6 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
James Robinson0749520112IndividualOperational/Managerial Control; ADP of the SNF
Julie A Moran5496756371IndividualOperational/Managerial Control; ADP of the SNF
Melissa Downing8527545318IndividualOperational/Managerial Control
Frederick G Apt4486043916IndividualOperational/Managerial Control
John T Mitchell0648429498IndividualOperational/Managerial Control
Joshua O Jergensen6800024092IndividualOperational/Managerial Control
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 Interest35.2
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest35.2
Providence Administrative Consulting Services Inc6406094671OrganizationADP of the SNF
Spokane 14820 East Realty LLC7012494800OrganizationADP of the SNF
Truist Bank6709306079Organization5% or Greater Security Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Sullivan Park Care Center
Sullivan SNF Healthcare LLC
122 residents
Other disclo…
3.68Ovr★★☆☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★★122
  • Sullivan SNF Healthcare LLC
    Other disclosed role122 res3.68 HPRD
    Overall 2Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
08/01/2024Sullivan Park Care CenterSullivan SNF Healthcare LLCCare Center (Sullivan Park), Inc.Buyer
  1. 08/01/2024
    Care Center (Sullivan Park), Inc.Sullivan SNF Healthcare LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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