Public record

CMS Skilled Nursing Facility All Owners

Associate id: 0547628836 · 33 matching records

Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
0244735512
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-05-01
First name - owner
ERIC
Last name - owner
CORPUZ
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
0244735512
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-05-01
First name - owner
ERIC
Last name - owner
CORPUZ
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
0648775916
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-06-26
Address line 1 - owner
5 TRIAD CTR
Address line 2 - owner
STE 600
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841801106
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
Y
Other type text - owner
LLP
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
1052314739
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-05-01
First name - owner
MARY
Last name - owner
BEARDSLEY
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
1052314739
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-05-01
First name - owner
MARY
Last name - owner
BEARDSLEY
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
1254836521
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-05-01
Percentage ownership
2
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
1355347980
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-05-01
First name - owner
TOBY
Last name - owner
TILFORD
Percentage ownership
46.6
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
1355347980
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
TOBY
Last name - owner
TILFORD
Title - owner
MANAGER
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
1355347980
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-05-01
First name - owner
TOBY
Last name - owner
TILFORD
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
1355347980
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-05-01
First name - owner
TOBY
Last name - owner
TILFORD
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
2466957733
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-05-01
Address line 1 - owner
1083 DEVONSHIRE AVE
City - owner
SAN LEANDRO
State - owner
CA
Zip code - owner
945791450
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
Y
Other type text - owner
LANDLORD
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
4880503630
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-05-01
First name - owner
ANTONETTE
Middle name - owner
D
Last name - owner
FROJELIN
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
4880503630
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-05-01
First name - owner
ANTONETTE
Middle name - owner
D
Last name - owner
FROJELIN
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
4981109253
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-05-01
Percentage ownership
4
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
5496268989
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-05-01
Organization name - owner
LINKS SUPPORT SERVICES, LLC
Address line 1 - owner
16544 FRANZEN FARM RD
City - owner
SAN DIEGO
State - owner
CA
Zip code - owner
921272240
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
5496268989
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-06-26
Organization name - owner
LINKS SUPPORT SERVICES, LLC
Address line 1 - owner
16544 FRANZEN FARM RD
City - owner
SAN DIEGO
State - owner
CA
Zip code - owner
921272240
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
6103339692
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-05-01
First name - owner
VICTORIA
Last name - owner
BERNHOLZ
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
6103339692
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-05-01
First name - owner
VICTORIA
Last name - owner
BERNHOLZ
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
6709381072
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-05-01
Percentage ownership
0.8
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
7012420516
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-05-01
First name - owner
MELISSA
Last name - owner
CARTER
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
7012420516
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-05-01
First name - owner
MELISSA
Last name - owner
CARTER
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
7113238049
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2023-05-01
Organization name - owner
FORBRIGHT BANK
Address line 1 - owner
4445 WILLARD AVE
City - owner
CHEVY CHASE
State - owner
MD
Zip code - owner
208153690
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
Y
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
7315086675
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-05-01
First name - owner
GURPREET
Last name - owner
DHUGGA
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
7315086675
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-05-01
First name - owner
GURPREET
Last name - owner
DHUGGA
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
7315211729
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-05-01
Organization name - owner
LINKS HEALTHCARE GROUP LLC
Address line 1 - owner
16544 FRANZEN FARM RD
City - owner
SAN DIEGO
State - owner
CA
Zip code - owner
921272240
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
7315211729
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-05-01
Organization name - owner
LINKS HEALTHCARE GROUP LLC
Address line 1 - owner
16544 FRANZEN FARM RD
City - owner
SAN DIEGO
State - owner
CA
Zip code - owner
921272240
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
7315211729
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-06-26
Organization name - owner
LINKS HEALTHCARE GROUP LLC
Address line 1 - owner
16544 FRANZEN FARM RD
City - owner
SAN DIEGO
State - owner
CA
Zip code - owner
921272240
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
8527563899
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-05-01
First name - owner
JERICA
Last name - owner
SINGH
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
8527563899
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-05-01
First name - owner
JERICA
Last name - owner
SINGH
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
9931335643
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-05-01
First name - owner
CURTIS
Last name - owner
RODRIGUEZ
Percentage ownership
46.6
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
9931335643
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
CURTIS
Last name - owner
RODRIGUEZ
Title - owner
MANAGER
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
9931335643
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-05-01
First name - owner
CURTIS
Last name - owner
RODRIGUEZ
Enrollment id
O20230619000882
Associate id
0547628836
Organization name
PEBBLE BEACH HOLDINGS LLC
Associate id - owner
9931335643
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-05-01
First name - owner
CURTIS
Last name - owner
RODRIGUEZ

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