Public record

CMS Skilled Nursing Facility All Owners

Associate id: 2163589359 · 9 matching records

Enrollment id
O20210412002181
Associate id
2163589359
Organization name
TALIHINA MANOR LLC
Associate id - owner
0143288050
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-29
First name - owner
MARCINDA
Last name - owner
MITCHELL
Percentage ownership
6.25
Enrollment id
O20210412002181
Associate id
2163589359
Organization name
TALIHINA MANOR LLC
Associate id - owner
0749245447
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-29
First name - owner
ROBERT
Last name - owner
MITCHELL
Percentage ownership
6.25
Enrollment id
O20210412002181
Associate id
2163589359
Organization name
TALIHINA MANOR LLC
Associate id - owner
3779861364
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-12-29
First name - owner
MICHAEL
Middle name - owner
BRANDON
Last name - owner
MORGAN
Title - owner
PRESIDENT
Enrollment id
O20210412002181
Associate id
2163589359
Organization name
TALIHINA MANOR LLC
Associate id - owner
4981011681
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-29
Organization name - owner
DELORES O. MITCHELL REVOCABLE TRUST
Address line 1 - owner
412 S DOGWOOD ST
City - owner
SALLISAW
State - owner
OK
Zip code - owner
749556639
Percentage ownership
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
O20210412002181
Associate id
2163589359
Organization name
TALIHINA MANOR LLC
Associate id - owner
4981879004
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-12-29
First name - owner
SANDRA
Last name - owner
TAYLOR
Title - owner
DIRECTOR OF REIMBURSEMENT
Enrollment id
O20210412002181
Associate id
2163589359
Organization name
TALIHINA MANOR LLC
Associate id - owner
6608159512
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-29
Organization name - owner
BGM ESTATE LLC
Address line 1 - owner
PO BOX 568
City - owner
SALLISAW
State - owner
OK
Zip code - owner
749550568
Percentage ownership
25
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
O20210412002181
Associate id
2163589359
Organization name
TALIHINA MANOR LLC
Associate id - owner
9032190400
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-29
First name - owner
KELLY
Last name - owner
MITCHELL
Percentage ownership
6.25
Enrollment id
O20210412002181
Associate id
2163589359
Organization name
TALIHINA MANOR LLC
Associate id - owner
9234197146
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-29
First name - owner
ANGELA
Last name - owner
TABOR
Percentage ownership
6.25
Enrollment id
O20210412002181
Associate id
2163589359
Organization name
TALIHINA MANOR LLC
Associate id - owner
9739596966
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-29
Organization name - owner
GILBERT F. GREEN TRUST
Address line 1 - owner
PO BOX 1090
City - owner
SALLISAW
State - owner
OK
Zip code - owner
749551090
Percentage ownership
50
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

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