Public record

CMS Skilled Nursing Facility All Owners

Associate id: 1153634969 · 9 matching records

Enrollment id
O20150723006881
Associate id
1153634969
Organization name
17322 EUCLID AVENUE COMPANY LLC
Associate id - owner
3678866464
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2019-06-04
Organization name - owner
ELM ARBOR, LLC
Address line 1 - owner
200 PUBLIC SQ
Address line 2 - owner
STE 3500
City - owner
CLEVELAND
State - owner
OH
Zip code - owner
441142317
Percentage ownership
10
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
Enrollment id
O20150723006881
Associate id
1153634969
Organization name
17322 EUCLID AVENUE COMPANY LLC
Associate id - owner
6002237435
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2019-06-04
Organization name - owner
MEB IRRV TR
Address line 1 - owner
941 E 23RD ST
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112103621
Percentage ownership
11.25
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
N
Other type - owner
Y
Other type text - owner
TRUST
Enrollment id
O20150723006881
Associate id
1153634969
Organization name
17322 EUCLID AVENUE COMPANY LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2015-06-15
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Enrollment id
O20150723006881
Associate id
1153634969
Organization name
17322 EUCLID AVENUE COMPANY LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-06-04
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Title - owner
MANING MEMBER
Percentage ownership
50
Enrollment id
O20150723006881
Associate id
1153634969
Organization name
17322 EUCLID AVENUE COMPANY LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-06-04
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Title - owner
SOLE OFFICER
Percentage ownership
100
Enrollment id
O20150723006881
Associate id
1153634969
Organization name
17322 EUCLID AVENUE COMPANY LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-06-04
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Title - owner
SOLE DIRECTOR
Percentage ownership
100
Enrollment id
O20150723006881
Associate id
1153634969
Organization name
17322 EUCLID AVENUE COMPANY LLC
Associate id - owner
7719115450
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2019-06-04
Organization name - owner
PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLC
Address line 1 - owner
22 PLEASANT RIDGE RD
City - owner
SPRING VALLEY
State - owner
NY
Zip code - owner
109771609
Percentage ownership
15
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
Enrollment id
O20150723006881
Associate id
1153634969
Organization name
17322 EUCLID AVENUE COMPANY LLC
Associate id - owner
7810318243
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2019-06-04
Organization name - owner
CASTLE ROCK NURSING MEMBER, LLC
Address line 1 - owner
17322 EUCLID AVE
City - owner
CLEVELAND
State - owner
OH
Zip code - owner
441121210
Percentage ownership
45
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
Enrollment id
O20150723006881
Associate id
1153634969
Organization name
17322 EUCLID AVENUE COMPANY LLC
Associate id - owner
7810318243
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-06-04
Organization name - owner
CASTLE ROCK NURSING MEMBER, LLC
Address line 1 - owner
17322 EUCLID AVE
City - owner
CLEVELAND
State - owner
OH
Zip code - owner
441121210
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

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