Public record

CMS Skilled Nursing Facility All Owners

Associate id: 1153703228 · 18 matching records

Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
0244731008
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-05-12
Organization name - owner
AUR AHC COLONIAL HAVEN PROPCO LLC
Address line 1 - owner
55 BROADWAY STE 2001
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
11249
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
Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
0446162333
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-09-13
First name - owner
FRANKLIN
Middle name - owner
SCOTT
Last name - owner
KELLMAN
Title - owner
MANAGER
Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
2466698592
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-05-13
First name - owner
STEPHEN
Middle name - owner
MICHAEL
Last name - owner
NEE
Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
2466698592
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-02-20
First name - owner
STEPHEN
Middle name - owner
MICHAEL
Last name - owner
NEE
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
2961403050
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-05-13
Organization name - owner
DIVERSICARE MANAGEMENT SERVICES LP.
Address line 1 - owner
1621 GALLERIA BLVD
City - owner
BRENTWOOD
State - owner
TN
Zip code - owner
370272926
Corporation - owner
N
Llc - owner
N
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
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
3173863297
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-09-13
First name - owner
ERAN
Last name - owner
RATNER
Title - owner
MANAGER
Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
3678574761
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-05-13
First name - owner
MATTHEW
Middle name - owner
J
Last name - owner
WEISHAAR
Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
3678574761
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2022-05-13
First name - owner
MATTHEW
Middle name - owner
J
Last name - owner
WEISHAAR
Title - owner
CHIEF FINANCIAL OFFICER / SECRETARY
Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
4880134501
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-03-06
First name - owner
TRENT
Last name - owner
REYNOLDS
Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
4880134501
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-26
First name - owner
TRENT
Last name - owner
REYNOLDS
Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
5395135073
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-05-13
Organization name - owner
DAC ACQUISITION LLC
Address line 1 - owner
600 BROADWAY
Address line 2 - owner
UNIT E
City - owner
LYNBROOK
State - owner
NY
Zip code - owner
115633980
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
Y
Owned by another org or ind - owner
Y
Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
6103115050
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2022-05-13
First name - owner
BRIAN
Last name - owner
KOHN
Title - owner
MANAGER
Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
6103115050
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-05-13
First name - owner
BRIAN
Last name - owner
KOHN
Percentage ownership
5.46
Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
7214070572
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-06-01
First name - owner
WILLIAM
Last name - owner
LEE
Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
7214070572
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-08
First name - owner
WILLIAM
Last name - owner
LEE
Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
7517345044
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2022-05-13
Organization name - owner
DAC OPCO, LLC
Address line 1 - owner
1621 GALLERIA BLVD
City - owner
BRENTWOOD
State - owner
TN
Zip code - owner
370272926
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
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
9234323239
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-05-13
First name - owner
REBECCA
Middle name - owner
B
Last name - owner
BODIE
Enrollment id
O20220805001778
Associate id
1153703228
Organization name
DAC OF GREENSBORO LLC
Associate id - owner
9234323239
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2022-05-13
First name - owner
REBECCA
Middle name - owner
B
Last name - owner
BODIE
Title - owner
CHIEF OPERATING OFFICER

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