Public record

CMS Skilled Nursing Facility All Owners

Associate id: 0941488126 · 11 matching records

Enrollment id
O20110617000635
Associate id
0941488126
Organization name
MODERN SENIOR LIVING LLC
Associate id - owner
0941488126
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2011-02-04
Organization name - owner
MODERN SENIOR LIVING LLC
Doing business as name - owner
SOUTH DALLAS NURSING AND REHABILITATION
Address line 1 - owner
3808 S CENTRAL EXPY
City - owner
DALLAS
State - owner
TX
Zip code - owner
752153701
Created for acquisition - owner
Y
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
N
Enrollment id
O20110617000635
Associate id
0941488126
Organization name
MODERN SENIOR LIVING LLC
Associate id - owner
3971692526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2011-02-04
First name - owner
PARAMPOTTLL
Last name - owner
ISSAC
Enrollment id
O20110617000635
Associate id
0941488126
Organization name
MODERN SENIOR LIVING LLC
Associate id - owner
3971692526
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2011-02-04
First name - owner
PARAMPOTTLL
Last name - owner
ISSAC
Enrollment id
O20110617000635
Associate id
0941488126
Organization name
MODERN SENIOR LIVING LLC
Associate id - owner
4284686429
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-21
First name - owner
JYOTSNA
Middle name - owner
S
Last name - owner
PRASAD
Enrollment id
O20110617000635
Associate id
0941488126
Organization name
MODERN SENIOR LIVING LLC
Associate id - owner
5799874343
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2011-02-04
First name - owner
LEELA
Last name - owner
ISSAC
Enrollment id
O20110617000635
Associate id
0941488126
Organization name
MODERN SENIOR LIVING LLC
Associate id - owner
5799874343
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2011-02-04
First name - owner
LEELA
Last name - owner
ISSAC
Enrollment id
O20110617000635
Associate id
0941488126
Organization name
MODERN SENIOR LIVING LLC
Associate id - owner
7113083031
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2011-02-04
First name - owner
TROY
Last name - owner
ISSAC
Enrollment id
O20110617000635
Associate id
0941488126
Organization name
MODERN SENIOR LIVING LLC
Associate id - owner
7113083031
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2011-02-04
First name - owner
TROY
Last name - owner
ISSAC
Enrollment id
O20110617000635
Associate id
0941488126
Organization name
MODERN SENIOR LIVING LLC
Associate id - owner
7113083031
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2011-02-04
First name - owner
TROY
Last name - owner
ISSAC
Enrollment id
O20110617000635
Associate id
0941488126
Organization name
MODERN SENIOR LIVING LLC
Associate id - owner
9830452689
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-06-20
First name - owner
NICHOLAS
Last name - owner
LEO
Enrollment id
O20110617000635
Associate id
0941488126
Organization name
MODERN SENIOR LIVING LLC
Associate id - owner
9830452689
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-21
First name - owner
NICHOLAS
Last name - owner
LEO

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list