Public record

CMS Skilled Nursing Facility All Owners

Associate id: 0648403873 · 29 matching records

Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
0042413247
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2026-06-29
First name - owner
ROBERT
Last name - owner
PECK
Title - owner
VICE PRESIDENT OF OPERATIONS
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
0042413247
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-06-29
First name - owner
ROBERT
Last name - owner
PECK
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
0446769699
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2014-05-01
First name - owner
SUSAN
Last name - owner
KAAR
Title - owner
VP OF COMPLIANCE AND QUALITY MGMT
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
0446769699
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-05-01
First name - owner
SUSAN
Last name - owner
KAAR
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
0547779704
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-05-01
Organization name - owner
SOVEREIGN CAROLINA DISBURSEMENTS LLC
Address line 1 - owner
101 SUNNYTOWN RD
Address line 2 - owner
STE 201
City - owner
CASSELBERRY
State - owner
FL
Zip code - owner
327073862
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
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
0941438881
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-05-01
Organization name - owner
SABRA HEALTH CARE REIT INC
Address line 1 - owner
1781 FLIGHT WAY
City - owner
TUSTIN
State - owner
CA
Zip code - owner
927821838
Corporation - owner
Y
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
N
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
2264342138
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-05-01
First name - owner
JOHN
Last name - owner
MANGINE
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
2264342138
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-05-01
First name - owner
JOHN
Last name - owner
MANGINE
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
2264342138
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2014-05-01
First name - owner
JOHN
Last name - owner
MANGINE
Percentage ownership
4.9
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
2264941426
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-29
Organization name - owner
HSP CAROLINA LLC
Address line 1 - owner
101 SUNNYTOWN RD
Address line 2 - owner
STE 201
City - owner
CASSELBERRY
State - owner
FL
Zip code - owner
327073862
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
Y
Other type text - owner
LESSOR
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
2466363478
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-05-01
Organization name - owner
SOUTHERN HEALTHCARE MANAGEMENT LLC
Address line 1 - owner
101 SUNNYTOWN RD
Address line 2 - owner
STE 201
City - owner
CASSELBERRY
State - owner
FL
Zip code - owner
327073862
Percentage ownership
100
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
Y
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
N
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
2466363478
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-14
Organization name - owner
SOUTHERN HEALTHCARE MANAGEMENT LLC
Address line 1 - owner
101 SUNNYTOWN RD
Address line 2 - owner
STE 201
City - owner
CASSELBERRY
State - owner
FL
Zip code - owner
327073862
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
Y
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
N
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
100
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
3678630647
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-05-01
First name - owner
DONALD
Middle name - owner
K
Last name - owner
MELTON
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
100
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
3678630647
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-05-01
First name - owner
DONALD
Middle name - owner
K
Last name - owner
MELTON
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
4082005004
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-06-15
First name - owner
WILLIAM
Last name - owner
NOTERMANN
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
5092971085
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-11-01
First name - owner
WASEEM
Last name - owner
GHANNAM
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
5092971085
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-11-01
First name - owner
WASEEM
Last name - owner
GHANNAM
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
5991730277
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-02-01
First name - owner
ROYCE
Middle name - owner
M
Last name - owner
CRONQUIST
Title - owner
CHIEF EXECUTIVE OFFICER
Percentage ownership
100
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
5991730277
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
ROYCE
Middle name - owner
M
Last name - owner
CRONQUIST
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
7012448590
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2026-09-14
First name - owner
KENDRA
Middle name - owner
BROOKE
Last name - owner
ELLIOTT
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
7012448590
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-09-14
First name - owner
KENDRA
Middle name - owner
BROOKE
Last name - owner
ELLIOTT
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
7315204146
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2017-11-12
Organization name - owner
JOHN J NOTERMANN BUSINESS TR
Address line 1 - owner
4795 HARRIS TRL
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303274409
Percentage ownership
80.9
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
7416866603
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-01
Organization name - owner
FORVIS MAZARS LLP
Doing business as name - owner
FORVIS MAZARS, LLP
Address line 1 - owner
910 E SAINT LOUIS ST
Address line 2 - owner
STE 400
City - owner
SPRINGFIELD
State - owner
MO
Zip code - owner
658062570
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
PARTNERSHIP - LLP
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
7810406063
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2017-06-08
First name - owner
DAWN
Last name - owner
CHERY
Title - owner
CHIEF NURSING OFFICER
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
7810406063
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2017-06-08
First name - owner
DAWN
Last name - owner
CHERY
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
8123250370
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2014-03-06
Organization name - owner
SOVEREIGN CAROLINA HOLDINGS LLC
Address line 1 - owner
101 SUNNYTOWN RD
Address line 2 - owner
STE 201
City - owner
CASSELBERRY
State - owner
FL
Zip code - owner
327073862
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
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
Y
Owned by another org or ind - owner
Y
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
8426351388
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2015-12-31
Organization name - owner
CRONQUIST 2015 FAMILY TR
Address line 1 - owner
600 EMBASSY ROW
Address line 2 - owner
STE 500
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303281692
Percentage ownership
14.2
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N

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