Public record

CMS Skilled Nursing Facility All Owners

Associate id: 1355614496 · 20 matching records

Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
2365412889
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2017-07-01
First name - owner
AARON
Middle name - owner
J
Last name - owner
DUNLAP
Title - owner
CHAIN HOME OFFICE ADMINISTRATOR
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
2365418787
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2017-07-01
First name - owner
TERRY
Middle name - owner
L
Last name - owner
TROYER
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
2365418787
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-07-01
First name - owner
TERRY
Middle name - owner
L
Last name - owner
TROYER
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
3173966439
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2017-07-01
First name - owner
THERESA
Last name - owner
NABER
Title - owner
ADMINISTRATOR
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
3173966439
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-07-01
First name - owner
THERESA
Last name - owner
NABER
Title - owner
ADMINISTRATOR
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
3779854351
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2017-07-01
First name - owner
GLENN
Middle name - owner
A
Last name - owner
VANEKEREN
Title - owner
PRESIDENT
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
3779854351
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-06-15
First name - owner
GLENN
Middle name - owner
A
Last name - owner
VANEKEREN
Title - owner
PRESIDENT
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
3779854351
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-07-01
First name - owner
GLENN
Middle name - owner
A
Last name - owner
VANEKEREN
Title - owner
PRESIDENT
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
3870495955
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2017-07-01
First name - owner
JACK
Middle name - owner
D
Last name - owner
VETTER
Title - owner
CHAIRMAN & CEO
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
3870495955
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-06-15
First name - owner
JACK
Middle name - owner
D
Last name - owner
VETTER
Title - owner
CHAIRMAN & CEO
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
3870495955
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-07-01
First name - owner
JACK
Middle name - owner
D
Last name - owner
VETTER
Title - owner
CHAIRMAN & CEO
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
5597036178
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2017-07-01
First name - owner
BRIAN
Middle name - owner
W
Last name - owner
STUHR
Title - owner
TREASURER
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
5597036178
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-06-15
First name - owner
BRIAN
Middle name - owner
W
Last name - owner
STUHR
Title - owner
TREASURER
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
5597036178
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-07-01
First name - owner
BRIAN
Middle name - owner
W
Last name - owner
STUHR
Title - owner
TREASURER
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
6507137189
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-12-23
Organization name - owner
VETTER SENIOR LIVING
Address line 1 - owner
20220 HARNEY ST
City - owner
ELKHORN
State - owner
NE
Zip code - owner
680222063
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
6507137189
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-12-23
Organization name - owner
VETTER SENIOR LIVING
Address line 1 - owner
20220 HARNEY ST
City - owner
ELKHORN
State - owner
NE
Zip code - owner
680222063
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
7315218997
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-07-01
Organization name - owner
VSL VETTER HEALTH SERVICES LLC
Address line 1 - owner
20220 HARNEY ST
City - owner
ELKHORN
State - owner
NE
Zip code - owner
680222063
Percentage ownership
100
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
N
Non profit - owner
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
9234031311
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2017-07-01
First name - owner
ELDORA
Middle name - owner
D
Last name - owner
VETTER
Title - owner
SECRETARY
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
9234031311
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-06-15
First name - owner
ELDORA
Middle name - owner
D
Last name - owner
VETTER
Title - owner
SECRETARY
Enrollment id
O20171206000830
Associate id
1355614496
Organization name
VSL ST EDWARD LLC
Associate id - owner
9234031311
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-07-01
First name - owner
ELDORA
Middle name - owner
D
Last name - owner
VETTER
Title - owner
SECRETARY

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