Grape Holdings LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9537446380 Enrollment ID O20170503001053

Details

Linked facilitiesFacilities
1
StatesStates
1

11 parties: 4 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Eduardo Ramos3476736281IndividualContracted Managing Employee
Travis Jones3072057934IndividualW-2 Managing Employee
Nevada Opco LLC3072890854Organization5% 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 % Own. HPRD Ratings Census Flags
Sage Creek POST-ACUTE
Grape Holdings LLC
58 residents
Other disclo…
4.39Ovr★★★★★Stf★★☆☆☆Ins★★★★QM★★★★★58
  • Grape Holdings LLC
    Other disclosed role58 res4.39 HPRD
    Overall 5Staffing Staff 2
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Name match to Grape Holdings LLC in FEC filings. Similar names may appear—confirm on FEC.gov.