Public record

CMS Skilled Nursing Facility All Owners

Associate id: 1254685878 · 12 matching records

Enrollment id
O20190102000365
Associate id
1254685878
Organization name
COLLIERVILLE NURSING AND REHABILITATION LLC
Associate id - owner
1254685878
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-10-13
Organization name - owner
COLLIERVILLE NURSING AND REHABILITATION LLC
Doing business as name - owner
COLLIERVILLE NURSING AND REHABILITATION
Address line 1 - owner
490 W POPLAR AVE
City - owner
COLLIERVILLE
State - owner
TN
Zip code - owner
380172538
Percentage ownership
100
Created for acquisition - owner
Y
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
Y
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
N
Enrollment id
O20190102000365
Associate id
1254685878
Organization name
COLLIERVILLE NURSING AND REHABILITATION LLC
Associate id - owner
1850553751
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-10-13
First name - owner
SIMCHA
Middle name - owner
MELECH
Last name - owner
HYMAN
Title - owner
OWNER
Percentage ownership
50
Enrollment id
O20190102000365
Associate id
1254685878
Organization name
COLLIERVILLE NURSING AND REHABILITATION LLC
Associate id - owner
2264538438
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-10-12
First name - owner
MICK
Last name - owner
VUJANOVIC
Title - owner
CEO
Enrollment id
O20190102000365
Associate id
1254685878
Organization name
COLLIERVILLE NURSING AND REHABILITATION LLC
Associate id - owner
2264538438
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-10-12
First name - owner
MICK
Last name - owner
VUJANOVIC
Enrollment id
O20190102000365
Associate id
1254685878
Organization name
COLLIERVILLE NURSING AND REHABILITATION LLC
Associate id - owner
2860901055
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2026-02-09
First name - owner
KENNETH
Last name - owner
CROWDUS
Enrollment id
O20190102000365
Associate id
1254685878
Organization name
COLLIERVILLE NURSING AND REHABILITATION LLC
Associate id - owner
2860901055
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-02-09
First name - owner
KENNETH
Last name - owner
CROWDUS
Enrollment id
O20190102000365
Associate id
1254685878
Organization name
COLLIERVILLE NURSING AND REHABILITATION LLC
Associate id - owner
6305008202
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-10-13
First name - owner
NAFTALI
Last name - owner
ZANZIPER
Title - owner
OWNER
Percentage ownership
50
Enrollment id
O20190102000365
Associate id
1254685878
Organization name
COLLIERVILLE NURSING AND REHABILITATION LLC
Associate id - owner
6406917269
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-01-01
First name - owner
MOHAMAD
Middle name - owner
K
Last name - owner
MOUGHRABIEH
Enrollment id
O20190102000365
Associate id
1254685878
Organization name
COLLIERVILLE NURSING AND REHABILITATION LLC
Associate id - owner
6406917269
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2022-01-01
First name - owner
MOHAMAD
Middle name - owner
K
Last name - owner
MOUGHRABIEH
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20190102000365
Associate id
1254685878
Organization name
COLLIERVILLE NURSING AND REHABILITATION LLC
Associate id - owner
6406917269
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-01-01
First name - owner
MOHAMAD
Middle name - owner
K
Last name - owner
MOUGHRABIEH
Enrollment id
O20190102000365
Associate id
1254685878
Organization name
COLLIERVILLE NURSING AND REHABILITATION LLC
Associate id - owner
7517353956
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-10-12
Organization name - owner
CLEARVIEW HEALTHCARE MANAGEMENT TN LLC
Doing business as name - owner
CLEARVIEW HEALTHCARE MANAGEMENT
Address line 1 - owner
2100 CHEROKEE RIDGE WAY
Address line 2 - owner
STE 100
City - owner
LOUISVILLE
State - owner
KY
Zip code - owner
402051600
Corporation - owner
N
Llc - owner
Y
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
O20190102000365
Associate id
1254685878
Organization name
COLLIERVILLE NURSING AND REHABILITATION LLC
Associate id - owner
7517353956
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-06-23
Organization name - owner
CLEARVIEW HEALTHCARE MANAGEMENT TN LLC
Doing business as name - owner
CLEARVIEW HEALTHCARE MANAGEMENT
Address line 1 - owner
2100 CHEROKEE RIDGE WAY
Address line 2 - owner
STE 100
City - owner
LOUISVILLE
State - owner
KY
Zip code - owner
402051600
Corporation - owner
N
Llc - owner
Y
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

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