Ontarioidence Opco, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9133440837 Enrollment ID O20150605002802

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Ali M Etemadian5294625448IndividualContracted Managing Employee
Trevor D. Lords2264658228IndividualW-2 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
Las Colinas Post Acute
Ontarioidence Opco, LLC
203 residents
Other disclo…
3.92Ovr★★☆☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★☆☆203
  • Ontarioidence Opco, LLC
    Other disclosed role203 res3.92 HPRD
    Overall 2Staffing Staff 2
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Name match to Ontarioidence Opco, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.