Public record

CMS Skilled Nursing Facility All Owners

Associate id: 2860891231 · 10 matching records

Enrollment id
O20210604002003
Associate id
2860891231
Organization name
GHC OF TEM-SNF, LLC
Associate id - owner
0244290088
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-04-16
First name - owner
LOIS
Middle name - owner
A
Last name - owner
MASTROCOLA
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
9.18
Enrollment id
O20210604002003
Associate id
2860891231
Organization name
GHC OF TEM-SNF, LLC
Associate id - owner
0244290088
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-04-16
First name - owner
LOIS
Middle name - owner
A
Last name - owner
MASTROCOLA
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20210604002003
Associate id
2860891231
Organization name
GHC OF TEM-SNF, LLC
Associate id - owner
0244290088
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-04-16
First name - owner
LOIS
Middle name - owner
A
Last name - owner
MASTROCOLA
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20210604002003
Associate id
2860891231
Organization name
GHC OF TEM-SNF, LLC
Associate id - owner
0244290088
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-04-16
First name - owner
LOIS
Middle name - owner
A
Last name - owner
MASTROCOLA
Title - owner
CFO OF LIFE GENERATIONS HEALTHCARE
Enrollment id
O20210604002003
Associate id
2860891231
Organization name
GHC OF TEM-SNF, LLC
Associate id - owner
2567372584
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-04-16
First name - owner
THOMAS
Last name - owner
OLDS
Title - owner
CEO/PRESIDENT
Percentage ownership
78.13
Enrollment id
O20210604002003
Associate id
2860891231
Organization name
GHC OF TEM-SNF, LLC
Associate id - owner
2567372584
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-04-16
First name - owner
THOMAS
Last name - owner
OLDS
Title - owner
CEO/PRESIDENT
Enrollment id
O20210604002003
Associate id
2860891231
Organization name
GHC OF TEM-SNF, LLC
Associate id - owner
2567372584
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-04-16
First name - owner
THOMAS
Last name - owner
OLDS
Title - owner
CEO/PRESIDENT
Enrollment id
O20210604002003
Associate id
2860891231
Organization name
GHC OF TEM-SNF, LLC
Associate id - owner
5193635118
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-04-16
First name - owner
FRED
Last name - owner
SMITH
Percentage ownership
12.69
Enrollment id
O20210604002003
Associate id
2860891231
Organization name
GHC OF TEM-SNF, LLC
Associate id - owner
8921918947
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-04-16
Organization name - owner
LIFE GENERATIONS HEALTHCARE, LLC
Address line 1 - owner
6 HUTTON CENTRE DR
Address line 2 - owner
STE 400
City - owner
SANTA ANA
State - owner
CA
Zip code - owner
927078762
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
O20210604002003
Associate id
2860891231
Organization name
GHC OF TEM-SNF, LLC
Associate id - owner
9234306887
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2023-09-20
Organization name - owner
BMO BANK, N.A.
Address line 1 - owner
111 W MONROE ST
City - owner
CHICAGO
State - owner
IL
Zip code - owner
606034096
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
Y
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

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