Public record

CMS Skilled Nursing Facility All Owners

Associate id: 0941742985 · 16 matching records

Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
3476460494
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-03-22
Organization name - owner
THE ENSIGN GROUP INC
Address line 1 - owner
29222 RANCHO VIEJO RD
Address line 2 - owner
STE 127
City - owner
SAN JUAN CAPISTRANO
State - owner
CA
Zip code - owner
926751049
Percentage ownership
100
Created for acquisition - owner
N
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
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
3476460494
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-03-22
Organization name - owner
THE ENSIGN GROUP INC
Address line 1 - owner
29222 RANCHO VIEJO RD
Address line 2 - owner
STE 127
City - owner
SAN JUAN CAPISTRANO
State - owner
CA
Zip code - owner
926751049
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
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
3577089093
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-03-22
Organization name - owner
ENSIGN SERVICES INC
Address line 1 - owner
29222 RANCHO VIEJO RD
Address line 2 - owner
STE 127
City - owner
SAN JUAN CAPISTRANO
State - owner
CA
Zip code - owner
926751049
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
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
4486122553
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-03-22
Organization name - owner
MILLCREEK HEALTH HOLDINGS LLC
Address line 1 - owner
29222 RANCHO VIEJO RD
Address line 2 - owner
STE 127
City - owner
SAN JUAN CAPISTRANO
State - owner
CA
Zip code - owner
926751049
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
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
6507082955
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2011-03-01
First name - owner
CHAD
Last name - owner
KEETCH
Title - owner
SECRETARY ENSIGN SERVICES, INC.
Percentage ownership
0
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
6800061623
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-03-22
First name - owner
STEPHEN
Middle name - owner
W
Last name - owner
FARNSWORTH
Title - owner
SOLE MANAGER HOLBROOK HEALTHCARE LL
Percentage ownership
0
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
7012010069
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-03-22
Organization name - owner
MILESTONE HEALTHCARE LLC
Address line 1 - owner
29222 RANCHO VIEJO RD
Address line 2 - owner
STE 127
City - owner
SAN JUAN CAPISTRANO
State - owner
CA
Zip code - owner
926751049
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
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
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
7012433535
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-03-22
Organization name - owner
STANDARD BEARER HEALTHCARE OP, LP
Address line 1 - owner
29222 RANCHO VIEJO RD
Address line 2 - owner
STE 127
City - owner
SAN JUAN CAPISTRANO
State - owner
CA
Zip code - owner
926751049
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
LIMITED PARTNERSHIP
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
7911942909
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-05-01
First name - owner
MARK
Middle name - owner
L
Last name - owner
MARTINEZ
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
7911942909
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-05-01
First name - owner
MARK
Middle name - owner
L
Last name - owner
MARTINEZ
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
7911942909
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-10
First name - owner
MARK
Middle name - owner
L
Last name - owner
MARTINEZ
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
8628200532
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-05-01
First name - owner
JEFF
Last name - owner
FLETCHER
Title - owner
ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
8628200532
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-05-01
First name - owner
JEFF
Last name - owner
FLETCHER
Title - owner
ADMINISTRATOR
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
8628200532
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-10
First name - owner
JEFF
Last name - owner
FLETCHER
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
9739195553
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-03-22
First name - owner
SOON
Last name - owner
BURNAM
Title - owner
SECRETARY HOLBROOK HEALTHCARE LLC
Percentage ownership
0
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
9739195553
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-03-22
First name - owner
SOON
Last name - owner
BURNAM
Title - owner
AUTHORIZED OFFICIAL

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