Greenville Skilled Nursing, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9335530062 Enrollment ID O20220106001529

Details

Linked facilitiesFacilities
1
StatesStates
1

14 parties: 7 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Justin Holck3870070246IndividualOperational/Managerial Control; ADP of the SNF
Elizabeth Mauldin5698252062IndividualOperational/Managerial Control; ADP of the SNF
Kerry Wheeler7618126590IndividualOperational/Managerial Control; ADP of the SNF
John T Mitchell0648429498IndividualCorporate Officer; Managing Control - Governing Body
Joshua O Jergensen6800024092IndividualCorporate Officer; Managing Control - Governing Body
Providence Group Nh, LLC5294198396Organization5% or Greater Direct Ownership Interest; ADP of the SNF100
Pacs Group, Inc.7911360011Organization5% or Greater Indirect Ownership Interest; ADP of the SNF100
Pacs Holdings, LLC6103289202Organization5% or Greater Indirect Ownership Interest; ADP of the SNF100
Jason H Murray0648228304Individual5% or Greater Indirect Ownership Interest; ADP of the SNF35.2
Mark D Hancock9830337005Individual5% or Greater Indirect Ownership Interest; Corporate Officer; ADP of the SNF35.2
Truist Bank9335631274Organization5% or Greater Security Interest; ADP of the SNF100
8 North Texas Avenue LLC7618454075OrganizationADP of the SNF
Zoozen LLC1759811474OrganizationADP of the SNF
Providence Administrative Consulting Services Inc6406094671OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
West Village Post Acute
Greenville Skilled Nursing, LLC
124 residents
Other disclo…
3.28Ovr★★★☆☆Stf★★☆☆☆Ins★★★☆☆QM★★★☆☆124
  • Greenville Skilled Nursing, LLC
    Other disclosed role124 res3.28 HPRD
    Overall 3Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
09/01/2021West Village Post AcuteGreenville Skilled Nursing, LLCSC-GA2018 Poinsett Rehabilitation and Healthcare Center LLCBuyer
  1. 09/01/2021
    SC-GA2018 Poinsett Rehabilitation and Healthcare Center LLCGreenville Skilled Nursing, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Greenville Skilled Nursing, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.