Mountain Home SNF Opco LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9032650577 Enrollment ID O20240924001974

Details

Linked facilitiesFacilities
1
StatesStates
1

6 parties: 2 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Daniel Bruckstein1355505413Individual5% or Greater Direct Ownership Interest; 5% or Greater Mortgage Interest; Operational/Managerial Control100
Cheryl Dorn1456796994IndividualOperational/Managerial Control; ADP of the SNF
Jason Bunch2860930716IndividualOperational/Managerial Control; ADP of the SNF
Ar Propco Member LLC5991235343OrganizationADP of the SNF
Samzil Holdings LLC0244760692OrganizationADP of the SNF
Unknown party0143752535IndividualADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Lake Forest Senior Living at Mountain Home
Mountain Home SNF Opco LLC
50 residents
Other disclo…
3.91Ovr★★★☆☆Stf★★☆☆☆Ins★★★☆☆QM★★★☆☆50

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
08/02/2024Lake Forest Senior Living at Mountain HomeMountain Home SNF Opco LLCThe Evangelical Lutheran Good Samaritan SocietyBuyer
  1. 08/02/2024
    The Evangelical Lutheran Good Samaritan SocietyMountain Home SNF Opco LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Mountain Home SNF Opco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.