Public record

CMS Skilled Nursing Facility All Owners

Associate id: 1052858156 · 18 matching records

Enrollment id
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
0042746182
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-12
Organization name - owner
STAG GROUP HOLDINGS LLC
Address line 1 - owner
14 WASHINGTON AVENUE
City - owner
SUFFERN
State - owner
NY
Zip code - owner
10901
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
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
2961949060
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-01
Organization name - owner
OVERHEAD OPS INVESTMENTS II LLC
Address line 1 - owner
2000 PGA BLVD
Address line 2 - owner
STE 3230
City - owner
NORTH PALM BEACH
State - owner
FL
Zip code - owner
334082718
Percentage ownership
100
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
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
4082882154
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-01
First name - owner
KEVIN
Last name - owner
BELL
Title - owner
MEMBER
Enrollment id
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
4688100720
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-12
Organization name - owner
TUH TRUST
Address line 1 - owner
1 STAG COURT
City - owner
SUFFERN
State - owner
NY
Zip code - owner
109011403
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
Enrollment id
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
4789110826
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-12
Organization name - owner
500 ALBUQUERQUE RE LLC
Address line 1 - owner
2000 PGA BLVD
Address line 2 - owner
STE 3230
City - owner
NORTH PALM BEACH
State - owner
FL
Zip code - owner
334082718
Corporation - owner
N
Llc - owner
N
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
Enrollment id
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
5294646733
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-02-01
First name - owner
TROY
Last name - owner
BRIGHAM
Title - owner
ADMINISTRATOR
Percentage ownership
0
Enrollment id
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
5294646733
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-12
First name - owner
TROY
Last name - owner
BRIGHAM
Enrollment id
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
5890178370
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-01
Organization name - owner
KCCJ1 HOLDINGS LLC
Address line 1 - owner
520 GREENWAY DR
City - owner
NORTH PALM BEACH
State - owner
FL
Zip code - owner
334083720
Percentage ownership
50
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
N
Enrollment id
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
5890178370
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-12
Organization name - owner
KCCJ1 HOLDINGS LLC
Address line 1 - owner
520 GREENWAY DR
City - owner
NORTH PALM BEACH
State - owner
FL
Zip code - owner
334083720
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
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
6709269285
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-01
Organization name - owner
LBEI HOLDINGS LLC
Address line 1 - owner
2000 PGA BLVD
Address line 2 - owner
STE 3230
City - owner
NORTH PALM BEACH
State - owner
FL
Zip code - owner
334082718
Percentage ownership
50
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
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
6901332048
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-12
Organization name - owner
MANAGEMENT MCOA LLC
Address line 1 - owner
2000 PGA BOULEVARD
Address line 2 - owner
SUITE 3230
City - owner
NORTH PALM BEACH
State - owner
FL
Zip code - owner
334082718
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
Y
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
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
7113145715
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-12
First name - owner
RADU
Last name - owner
BUTUC
Enrollment id
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
7315473451
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-12
Organization name - owner
UCT EK TYK HOLDINGS LLC
Address line 1 - owner
3 HIDDEN VALLEY DRIVE
City - owner
SUFFERN
State - owner
NY
Zip code - owner
109011301
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
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
7517979503
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-01
First name - owner
ROBERT
Last name - owner
CAMPION
Title - owner
MEMBER
Enrollment id
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
7517979503
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-02-01
First name - owner
ROBERT
Last name - owner
CAMPION
Title - owner
COO
Enrollment id
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
7517979503
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-12
First name - owner
ROBERT
Last name - owner
CAMPION
Enrollment id
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
7810368651
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-12
Organization name - owner
DWIGHT MORTGAGE TRUST LLC
Doing business as name - owner
DWIGHT MORTGAGE TRUST
Address line 1 - owner
787 ELEVENTH AVENUE
Address line 2 - owner
10 FLOOR
City - owner
NEW YORK
State - owner
NY
Zip code - owner
100193584
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
Y
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20240807002076
Associate id
1052858156
Organization name
369 ALBUQUERQUE OPS LLC
Associate id - owner
8426584566
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-12
Organization name - owner
500 ALBUQUERQUE HOLDCO LLC
Address line 1 - owner
2000 PGA BLVD
Address line 2 - owner
STE 3230
City - owner
NORTH PALM BEACH
State - owner
FL
Zip code - owner
334082718
Corporation - owner
N
Llc - owner
N
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

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