Public record

CMS Skilled Nursing Facility All Owners

Associate id: 2264580018 · 13 matching records

Enrollment id
O20090505000013
Associate id
2264580018
Organization name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Associate id - owner
1254813470
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-09-04
First name - owner
TAMRA
Last name - owner
MANDELDOVE
Enrollment id
O20090505000013
Associate id
2264580018
Organization name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Associate id - owner
1254813470
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-09-04
First name - owner
TAMRA
Last name - owner
MANDELDOVE
Enrollment id
O20090505000013
Associate id
2264580018
Organization name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Associate id - owner
2163710849
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-10-07
Organization name - owner
ILANA D. AARON 2008 MINORITY TRUST
Address line 1 - owner
5611 DEMPSTER ST
City - owner
MORTON GROVE
State - owner
IL
Zip code - owner
600533109
Percentage ownership
8
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20090505000013
Associate id
2264580018
Organization name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Associate id - owner
2668378159
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-10-07
Organization name - owner
TODD ANDREW STERN 2001 TR UA 103101
Address line 1 - owner
6108 N LAWNDALE AVE
City - owner
CHICAGO
State - owner
IL
Zip code - owner
606593114
Percentage ownership
8
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
Y
Enrollment id
O20090505000013
Associate id
2264580018
Organization name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Associate id - owner
2769659846
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-10-05
First name - owner
MARCELLA
Last name - owner
GRAF
Enrollment id
O20090505000013
Associate id
2264580018
Organization name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Associate id - owner
2769659846
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-10-05
First name - owner
MARCELLA
Last name - owner
GRAF
Enrollment id
O20090505000013
Associate id
2264580018
Organization name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Associate id - owner
3779685169
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-10-07
Organization name - owner
EVAN MICHAEL STERN 2005 TR 07172005
Address line 1 - owner
9049 KARLOV AVE
City - owner
SKOKIE
State - owner
IL
Zip code - owner
600761715
Percentage ownership
8
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
Y
Enrollment id
O20090505000013
Associate id
2264580018
Organization name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Associate id - owner
3870501422
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-05-01
First name - owner
JASON
Last name - owner
ROBIN
Enrollment id
O20090505000013
Associate id
2264580018
Organization name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Associate id - owner
3870501422
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-05-01
First name - owner
JASON
Last name - owner
ROBIN
Enrollment id
O20090505000013
Associate id
2264580018
Organization name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Associate id - owner
5890843643
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-10-05
First name - owner
JONATHAN
Last name - owner
AARON
Enrollment id
O20090505000013
Associate id
2264580018
Organization name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Associate id - owner
5890843643
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2016-10-05
First name - owner
JONATHAN
Last name - owner
AARON
Percentage ownership
38
Enrollment id
O20090505000013
Associate id
2264580018
Organization name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Associate id - owner
7315049707
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-10-07
Organization name - owner
JONATHAN BRYAN STERN 2001 TR UAD 103101
Address line 1 - owner
9049 KARLOV AVE
City - owner
SKOKIE
State - owner
IL
Zip code - owner
600761715
Percentage ownership
30
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
Y
Enrollment id
O20090505000013
Associate id
2264580018
Organization name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Associate id - owner
8527116375
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2008-08-20
First name - owner
DEVORA
Last name - owner
GOLDSTEIN
Percentage ownership
8

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