Public record

CMS Skilled Nursing Facility All Owners

Associate id: 2163731878 · 12 matching records

Enrollment id
O20151020002813
Associate id
2163731878
Organization name
2801 FELTON AVENUE, L.P.
Associate id - owner
0244491421
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2015-09-01
Organization name - owner
REWELL INVESTMENTS, LLC
Address line 1 - owner
200 MANSELL COURT EAST
Address line 2 - owner
SUITE 200
City - owner
ROSWELL
State - owner
GA
Zip code - owner
300764814
Percentage ownership
50
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
Enrollment id
O20151020002813
Associate id
2163731878
Organization name
2801 FELTON AVENUE, L.P.
Associate id - owner
0345540316
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2015-09-01
Organization name - owner
WELLINGTON HEALTHCARE, LLC
Address line 1 - owner
20 MANSELL COURT EAST
Address line 2 - owner
SUITE 200
City - owner
ROSWELL
State - owner
GA
Zip code - owner
300764814
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
Enrollment id
O20151020002813
Associate id
2163731878
Organization name
2801 FELTON AVENUE, L.P.
Associate id - owner
2163683343
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2015-09-01
Organization name - owner
ANDWELL INVESTMENTS, LLC
Address line 1 - owner
20 MANSELL COURT EAST
Address line 2 - owner
SUITE 200
City - owner
ROSWELL
State - owner
GA
Zip code - owner
300764814
Percentage ownership
50
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
Enrollment id
O20151020002813
Associate id
2163731878
Organization name
2801 FELTON AVENUE, L.P.
Associate id - owner
3971803941
Type - owner
O
Role code - owner
38
Role text - owner
GENERAL PARTNERSHIP INTEREST
Association date - owner
2015-09-01
Organization name - owner
WIII GP, LLC
Address line 1 - owner
20 MANSELL E CT 200
City - owner
ROSWELL
State - owner
GA
Zip code - owner
300764814
Percentage ownership
0.01
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
Enrollment id
O20151020002813
Associate id
2163731878
Organization name
2801 FELTON AVENUE, L.P.
Associate id - owner
4981904950
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-09-01
Organization name - owner
WELLINGTON HEALTHCARE SERVICES III, LP
Address line 1 - owner
20 MANSELL COURT EAST
Address line 2 - owner
SUITE 200
City - owner
ROSWELL
State - owner
GA
Zip code - owner
300764814
Percentage ownership
99.99
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
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
Y
Other type text - owner
LIMITED PARTNERSHIP
Enrollment id
O20151020002813
Associate id
2163731878
Organization name
2801 FELTON AVENUE, L.P.
Associate id - owner
4981904950
Type - owner
O
Role code - owner
39
Role text - owner
LIMITED PARTNERSHIP INTEREST
Association date - owner
2015-09-01
Organization name - owner
WELLINGTON HEALTHCARE SERVICES III, LP
Address line 1 - owner
20 MANSELL COURT EAST
Address line 2 - owner
SUITE 200
City - owner
ROSWELL
State - owner
GA
Zip code - owner
300764814
Percentage ownership
99.99
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
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
Y
Other type text - owner
LIMITED PARTNERSHIP
Enrollment id
O20151020002813
Associate id
2163731878
Organization name
2801 FELTON AVENUE, L.P.
Associate id - owner
5496802712
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-02-07
First name - owner
VALERIA
Last name - owner
SHULER
Title - owner
FACILITY ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20151020002813
Associate id
2163731878
Organization name
2801 FELTON AVENUE, L.P.
Associate id - owner
5890604763
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2015-09-01
First name - owner
JAMES
Middle name - owner
J
Last name - owner
ANDREWS
Percentage ownership
50
Enrollment id
O20151020002813
Associate id
2163731878
Organization name
2801 FELTON AVENUE, L.P.
Associate id - owner
5890604763
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-09-01
First name - owner
JAMES
Middle name - owner
J
Last name - owner
ANDREWS
Title - owner
PRESIDENT
Enrollment id
O20151020002813
Associate id
2163731878
Organization name
2801 FELTON AVENUE, L.P.
Associate id - owner
5890604763
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-09-01
First name - owner
JAMES
Middle name - owner
J
Last name - owner
ANDREWS
Title - owner
DIRECTOR
Enrollment id
O20151020002813
Associate id
2163731878
Organization name
2801 FELTON AVENUE, L.P.
Associate id - owner
5890604763
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-09-01
First name - owner
JAMES
Middle name - owner
J
Last name - owner
ANDREWS
Title - owner
PRESIDENT
Enrollment id
O20151020002813
Associate id
2163731878
Organization name
2801 FELTON AVENUE, L.P.
Associate id - owner
8921369265
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2017-01-28
First name - owner
HEATHER
Last name - owner
REES
Percentage ownership
50

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