Public record

CMS Skilled Nursing Facility All Owners

Associate id: 2163865171 · 43 matching records

Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
0547775033
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
Address line 1 - owner
303 INTERNATIONAL CIR
Address line 2 - owner
STE 200
City - owner
HUNT VALLEY
State - owner
MD
Zip code - owner
210301359
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
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
0840654901
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Organization name - owner
WITZCORP PNW 12 LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
1153842851
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
Organization name - owner
COUVE HEALTHCARE CONSULTING LLC
Doing business as name - owner
COUVE HEALTHCARE CONSULTING LLC
Address line 1 - owner
4601 NE 77TH AVE
Address line 2 - owner
STE 300
City - owner
VANCOUVER
State - owner
WA
Zip code - owner
986626736
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
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
1153842851
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-10
Organization name - owner
COUVE HEALTHCARE CONSULTING LLC
Doing business as name - owner
COUVE HEALTHCARE CONSULTING LLC
Address line 1 - owner
4601 NE 77TH AVE
Address line 2 - owner
STE 300
City - owner
VANCOUVER
State - owner
WA
Zip code - owner
986626736
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
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
1759745813
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Organization name - owner
CH PNW 12 HOLDINGS LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
66.5
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
Y
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
1850806357
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Percentage ownership
3
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
2163865171
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
Organization name - owner
POLSON SNF OPERATIONS LLC
Doing business as name - owner
POLSON HEALTH AND REHABILITATION CENTER
Address line 1 - owner
9 14TH AVE W
City - owner
POLSON
State - owner
MT
Zip code - owner
598605321
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
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
2163865171
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-05-20
Organization name - owner
POLSON SNF OPERATIONS LLC
Doing business as name - owner
POLSON HEALTH AND REHABILITATION CENTER
Address line 1 - owner
9 14TH AVE W
City - owner
POLSON
State - owner
MT
Zip code - owner
598605321
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
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
2163865171
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Organization name - owner
POLSON SNF OPERATIONS LLC
Doing business as name - owner
POLSON HEALTH AND REHABILITATION CENTER
Address line 1 - owner
9 14TH AVE W
City - owner
POLSON
State - owner
MT
Zip code - owner
598605321
Percentage ownership
0
Created for acquisition - owner
Y
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
2466808514
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
Organization name - owner
PNW 12 OPCO MANAGEMENT LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
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
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
2961868286
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
Organization name - owner
COUVE FINANCIAL SERVICES LLC
Address line 1 - owner
4601 NE 77TH AVE
Address line 2 - owner
STE 300 ATTN: BILLING DEPT
City - owner
VANCOUVER
State - owner
WA
Zip code - owner
986626736
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
Y
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
2961868286
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-09
Organization name - owner
COUVE FINANCIAL SERVICES LLC
Address line 1 - owner
4601 NE 77TH AVE
Address line 2 - owner
STE 300 ATTN: BILLING DEPT
City - owner
VANCOUVER
State - owner
WA
Zip code - owner
986626736
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
Y
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
3577078054
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
2.25
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
3678088176
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
4587179064
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
1
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
Y
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
4587179080
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
JOANN
Last name - owner
ENSUNCHO
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
4587179080
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
JOANN
Last name - owner
ENSUNCHO
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
5496260978
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
3
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
Y
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
6103338173
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-08-31
First name - owner
JAMES
Last name - owner
HOHN
Title - owner
DIVISIONAL DIRECTOR OF CLINICAL OPS
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
6103338173
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
JAMES
Last name - owner
HOHN
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
6204341787
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
2.25
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
7517395833
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-08-31
First name - owner
YITZCHOK
Last name - owner
YENOWITZ
Title - owner
CHIEF EXECUTIVE OFFICER, AO
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
7517395833
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
YITZCHOK
Last name - owner
YENOWITZ
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
7517395833
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
YITZCHOK
Last name - owner
YENOWITZ
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
7517395833
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
First name - owner
YITZCHOK
Last name - owner
YENOWITZ
Percentage ownership
25
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
7618243155
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
First name - owner
YISROEL
Middle name - owner
E
Last name - owner
HERZKA
Percentage ownership
66.5
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
7618322611
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
Organization name - owner
PNW 12 OPCO MANAGEMENT LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
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
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
7618322611
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-10
Organization name - owner
PNW 12 OPCO MANAGEMENT LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
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
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
7911384920
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
THOMAS
Last name - owner
WRIGHT
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
7911384920
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
THOMAS
Last name - owner
WRIGHT
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
7911421805
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
Organization name - owner
PNW 12 SNF CONSULTING LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
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
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
7911421805
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-10
Organization name - owner
PNW 12 SNF CONSULTING LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
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
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
8022523505
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
2.25
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
Y
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
8921468000
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-08-31
First name - owner
SHIMON
Last name - owner
SPIELMAN
Title - owner
CHIEF FINANCIAL OFFICER, AO
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
8921468000
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
SHIMON
Last name - owner
SPIELMAN
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
8921468000
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
SHIMON
Last name - owner
SPIELMAN
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
9032624531
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Percentage ownership
1
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Title - owner
REGIONAL DIRECTOR OF OPERATIONS
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Percentage ownership
0
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
9931563095
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Organization name - owner
PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
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
Y
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
Parent company - owner
Y
Owned by another org or ind - owner
Y
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
9931614419
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
2.25
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
Y
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
Parent company - owner
N
Owned by another org or ind - owner
Y

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list