Public record

CMS Skilled Nursing Facility All Owners

Associate id: 0547635435 · 28 matching records

Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
0143296558
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-03-16
First name - owner
MARK
Last name - owner
PASS
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
0143296558
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-03-16
First name - owner
MARK
Last name - owner
PASS
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
0143587170
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-03-16
First name - owner
NACHUM
Last name - owner
SCHLAFF
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
0345640140
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-03-16
Organization name - owner
PEACE CAPITAL HOLDINGS LLC
Address line 1 - owner
1730 NJ 37 W
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
08757
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
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
0345640140
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-03-16
Organization name - owner
PEACE CAPITAL HOLDINGS LLC
Address line 1 - owner
1730 NJ 37 W
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
08757
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
0840583282
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-03-16
First name - owner
WANDA
Last name - owner
MERCADO
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
0840583282
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-03-16
First name - owner
WANDA
Last name - owner
MERCADO
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
1355657511
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-03-16
First name - owner
SABRINA
Last name - owner
SABELLA
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
3577938729
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-03-16
Organization name - owner
PC HMH OPCO HOLDNGS LLC
Address line 1 - owner
1730 NJ 37 W
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
08757
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
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
4486029634
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-03-16
Organization name - owner
PC HMH HOLDINGS LLC
Address line 1 - owner
1730 NJ 37 W
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
08757
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
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
4486029634
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-03-16
Organization name - owner
PC HMH HOLDINGS LLC
Address line 1 - owner
1730 NJ 37 W
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
08757
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
4486132529
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-03-16
Organization name - owner
WALL PROPCO LLC
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
5395223432
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-03-16
Organization name - owner
WALL PROPCO HOLDCO LLC
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
5991104671
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-03-16
Organization name - owner
SMS 2021 TRUST
Address line 1 - owner
1725 MERIDIAN TRAIL
City - owner
WALL TOWNSHIP
State - owner
NJ
Zip code - owner
07719
Percentage ownership
95.1
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
N
Consulting firm - owner
N
For profit - owner
Y
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
TRUST
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
5991104671
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-03-16
Organization name - owner
SMS 2021 TRUST
Address line 1 - owner
1725 MERIDIAN TRAIL
City - owner
WALL TOWNSHIP
State - owner
NJ
Zip code - owner
07719
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
Y
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
TRUST
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
6608114756
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-06-08
First name - owner
GINA
Middle name - owner
MARIE
Last name - owner
FACCIOLI
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
6709886336
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2026-06-08
First name - owner
JAMES
Middle name - owner
R
Last name - owner
PREIMESBERGER
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
6709886336
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-06-08
First name - owner
JAMES
Middle name - owner
R
Last name - owner
PREIMESBERGER
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
7214363589
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-03-16
First name - owner
ROBERT
Middle name - owner
J
Last name - owner
HOCH
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
7214363589
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-03-16
First name - owner
ROBERT
Middle name - owner
J
Last name - owner
HOCH
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
7214436591
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-03-16
Organization name - owner
PC HMH PROPCO INTERMEDIATE 9 LLC
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
7416214440
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-03-16
Organization name - owner
EEF CAPITAL LLC
Address line 1 - owner
917 E 26TH ST
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112103725
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
8123527405
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-03-16
Organization name - owner
PC HMH TOPCO PROPCO HOLDINGS LLC
Address line 1 - owner
229 ROUTE 70
City - owner
TOMS RIVER
State - owner
NJ
Zip code - owner
087551026
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
8325305352
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-03-16
First name - owner
BENNY
Last name - owner
SCHLAFF
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
9638440308
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-03-16
First name - owner
SHALOM
Last name - owner
STEIN
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
9638440308
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-03-16
First name - owner
SHALOM
Last name - owner
STEIN
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
9638440308
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2023-03-16
First name - owner
SHALOM
Last name - owner
STEIN
Enrollment id
O20230406000769
Associate id
0547635435
Organization name
COMPLETE CARE AT WALL LLC
Associate id - owner
9638440308
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-03-16
First name - owner
SHALOM
Last name - owner
STEIN
Percentage ownership
4.9

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