Public record

CMS Skilled Nursing Facility All Owners

Associate id: 2769720481 · 10 matching records

Enrollment id
O20190205001357
Associate id
2769720481
Organization name
SIDNEY SNF INC
Associate id - owner
0547439697
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-12-01
Organization name - owner
MSTC DEVELOPMENT INC
Address line 1 - owner
628 NILES CORTLAND RD SE
Address line 2 - owner
STE 102
City - owner
WARREN
State - owner
OH
Zip code - owner
444842473
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
Y
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
O20190205001357
Associate id
2769720481
Organization name
SIDNEY SNF INC
Associate id - owner
0547439697
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-02
Organization name - owner
MSTC DEVELOPMENT INC
Address line 1 - owner
628 NILES CORTLAND RD SE
Address line 2 - owner
STE 102
City - owner
WARREN
State - owner
OH
Zip code - owner
444842473
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
Y
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
O20190205001357
Associate id
2769720481
Organization name
SIDNEY SNF INC
Associate id - owner
1759445364
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-03-28
First name - owner
GWYNN
Last name - owner
RYDER
Title - owner
REGIONAL VP OF OPERATIONS
Enrollment id
O20190205001357
Associate id
2769720481
Organization name
SIDNEY SNF INC
Associate id - owner
1759445364
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-28
First name - owner
GWYNN
Last name - owner
RYDER
Enrollment id
O20190205001357
Associate id
2769720481
Organization name
SIDNEY SNF INC
Associate id - owner
2365766904
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
First name - owner
DANIEL
Last name - owner
D'AMICO
Title - owner
33.33
Enrollment id
O20190205001357
Associate id
2769720481
Organization name
SIDNEY SNF INC
Associate id - owner
2365766904
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-12-01
First name - owner
DANIEL
Last name - owner
D'AMICO
Enrollment id
O20190205001357
Associate id
2769720481
Organization name
SIDNEY SNF INC
Associate id - owner
2769395698
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-09-01
First name - owner
MICHAEL
Last name - owner
SLYK
Title - owner
PRESIDENT
Percentage ownership
66.67
Enrollment id
O20190205001357
Associate id
2769720481
Organization name
SIDNEY SNF INC
Associate id - owner
2769395698
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-09-01
First name - owner
MICHAEL
Last name - owner
SLYK
Enrollment id
O20190205001357
Associate id
2769720481
Organization name
SIDNEY SNF INC
Associate id - owner
3678081833
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-07
First name - owner
HEATHER
Last name - owner
FOGLE
Enrollment id
O20190205001357
Associate id
2769720481
Organization name
SIDNEY SNF INC
Associate id - owner
9638588239
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-01
First name - owner
KOBY
Middle name - owner
MICHAEL
Last name - owner
DIXON

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