Lindsay Gardensidence Opco, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9436258340 Enrollment ID O20140801000097

Details

Linked facilitiesFacilities
1
StatesStates
1

11 parties: 4 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Riley Bennett0941743975IndividualW-2 Managing Employee; Operational/Managerial Control
Stephen M Grossman4183521131IndividualContracted Managing Employee
Providence Group of California LLC5294951422Organization5% or Greater Direct Ownership Interest100
Pacs Group, Inc.7911360011Organization5% or Greater Indirect Ownership Interest100
Pacs Holdings, LLC6103289202Organization5% or Greater Indirect Ownership Interest100
Providence Group Nh, LLC5294198396Organization5% 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
Lindsay Gardens Nursing & Rehabilitation
Lindsay Gardensidence Opco, LLC
92 residents
Other disclo…
3.78Ovr★★★★Stf★★★☆☆Ins★★★☆☆QM★★★★★92
Related CMS associates

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Name match to Lindsay Gardensidence Opco, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.