Melon Holdings LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9739491705 Enrollment ID O20150703000036

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Shailaja Vemulapalli1052687233IndividualContracted Managing Employee
Cameron Comer0244777514IndividualW-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
Marysville POST-ACUTE
Melon Holdings LLC
83 residents
Other disclo…
3.90Ovr★★★★★Stf★★★★Ins★★★★QM★★★★★83
  • Melon Holdings LLC
    Other disclosed role83 res3.90 HPRD
    Overall 5Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
04/01/2016Marysville POST-ACUTEMelon Holdings LLCMarysville Nursing & Rehab LLCBuyer
  1. 04/01/2016
    Marysville Nursing & Rehab LLCMelon Holdings LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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