Koa Holdings LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9436163698 Enrollment ID O20060127000033

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Hunter M Moore1153797261IndividualW-2 Managing Employee; Operational/Managerial Control
Mansour Mofidi0143379222IndividualContracted 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
Cottonwood Canyon Healthcare Center
Koa Holdings LLC
90 residents
Other disclo…
4.02Ovr★★★☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★★90
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Koa Holdings LLC in FEC filings. Similar names may appear—confirm on FEC.gov.