Public record

CMS Skilled Nursing Facility All Owners

Associate id: 3072412725 · 50 matching records

Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1951622174
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-02-01
First name - owner
RHONDA
Last name - owner
BURLESON
Title - owner
ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1951622174
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2015-02-01
First name - owner
RHONDA
Last name - owner
BURLESON
Title - owner
ADMINISTRATOR
Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1951622174
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-02-01
First name - owner
RHONDA
Last name - owner
BURLESON
Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
2769399732
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-02-01
Organization name - owner
NORTHERN OAKS HEALTHCARE, INC.
Doing business as name - owner
NORTHERN OAKS LIVING AND REHABILITATION CENTER
Address line 1 - owner
2722 OLD ANSON ROAD
City - owner
ABILENE
State - owner
TX
Zip code - owner
796031834
Percentage ownership
100
Corporation - owner
Y
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
N
Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
2769399732
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-08-12
Organization name - owner
NORTHERN OAKS HEALTHCARE, INC.
Doing business as name - owner
NORTHERN OAKS LIVING AND REHABILITATION CENTER
Address line 1 - owner
2722 OLD ANSON ROAD
City - owner
ABILENE
State - owner
TX
Zip code - owner
796031834
Corporation - owner
Y
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
N
Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3072412725
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-02-01
Organization name - owner
EASTLAND MEMORIAL HOSPITAL DISTRICT
Doing business as name - owner
CISCO CLINIC
Address line 1 - owner
304 S DAUGHERTY STREET
City - owner
EASTLAND
State - owner
TX
Zip code - owner
76448
Percentage ownership
100
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
HOSPITAL DISTRICT
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3577089093
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2002-08-01
Organization name - owner
ENSIGN SERVICES INC
Address line 1 - owner
29222 RANCHO VIEJO RD
Address line 2 - owner
STE 127
City - owner
SAN JUAN CAPISTRANO
State - owner
CA
Zip code - owner
926751049
Corporation - owner
Y
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
N
Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
4082522305
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-07-01
First name - owner
STEPHEN
Middle name - owner
C
Last name - owner
TAYLOR
Title - owner
CEO EASTLAND MEMORIAL HOSPITAL DIST
Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
4587188503
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2000-01-01
Organization name - owner
CTR PARTNERSHIP LP
Address line 1 - owner
905 CALLE AMANECER
Address line 2 - owner
STE 300
City - owner
SAN CLEMENTE
State - owner
CA
Zip code - owner
926736277
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
LIMITED PARTNERSHIP
Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
4789104811
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2000-01-01
Organization name - owner
CARETRUST GP LLC
Address line 1 - owner
905 CALLE AMANECER
Address line 2 - owner
STE 300
City - owner
SAN CLEMENTE
State - owner
CA
Zip code - owner
926736277
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
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
4880169812
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2000-01-01
Organization name - owner
ANSON HEALTH HOLDINGS LLC
Address line 1 - owner
905 CALLE AMANECER
Address line 2 - owner
STE 300
City - owner
SAN CLEMENTE
State - owner
CA
Zip code - owner
926736277
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
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
5496279416
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2000-01-01
Organization name - owner
CARETRUST REIT INC
Address line 1 - owner
905 CALLE AMANECER
Address line 2 - owner
STE 300
City - owner
SAN CLEMENTE
State - owner
CA
Zip code - owner
926736277
Corporation - owner
Y
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
N
Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
6507082955
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2011-03-01
First name - owner
CHAD
Last name - owner
KEETCH
Title - owner
SECRETARY ENSIGN SERVICES, INC.
Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
8820989189
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-05-15
First name - owner
EUGENE
Middle name - owner
VICTOR
Last name - owner
HUDMAN
Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
8820989189
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2013-05-15
First name - owner
EUGENE
Middle name - owner
VICTOR
Last name - owner
HUDMAN
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
8820989189
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2013-05-15
First name - owner
EUGENE
Middle name - owner
VICTOR
Last name - owner
HUDMAN
Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
9739195553
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2000-01-01
First name - owner
SOON
Last name - owner
BURNAM
Title - owner
SECRETARY OF MANAGEMENT COMPANY
Enrollment id
O20150525000031
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
9739195553
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2000-01-01
First name - owner
SOON
Last name - owner
BURNAM
Enrollment id
O20150529000428
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1254846645
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-01
Enrollment id
O20150529000428
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
2466362538
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-11-10
First name - owner
LABAN
Last name - owner
WRIGHT
Title - owner
CEO
Enrollment id
O20150529000428
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3072412725
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-02-28
Organization name - owner
EASTLAND MEMORIAL HOSPITAL DISTRICT
Doing business as name - owner
CISCO CLINIC
Address line 1 - owner
304 S DAUGHERTY AVE
City - owner
EASTLAND
State - owner
TX
Zip code - owner
764482609
Percentage ownership
100
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
HOSPITAL DISTRICT
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20150529000428
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3072809110
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-01
First name - owner
MIKE
Last name - owner
JACKSON
Enrollment id
O20150529000428
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3274048665
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-03-01
Organization name - owner
1404 FRONT STREET OPCO, LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
O20150529000428
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3870870553
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-03-01
First name - owner
NOCHUM
Last name - owner
FREUND
Enrollment id
O20150529000428
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
4183139579
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2025-03-01
Organization name - owner
1404 FRONT STREET PROPERTY OWNER, LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
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
O20150529000428
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
4183139579
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-01
Organization name - owner
1404 FRONT STREET PROPERTY OWNER, LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
O20150529000428
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
5092233023
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-03-01
First name - owner
AARON
Last name - owner
TRAVITSKY
Enrollment id
O20150529000428
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
6103344130
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2025-03-01
Organization name - owner
WELLTOWER NNN GROUP, LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
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
O20150529000428
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
6103344130
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-01
Organization name - owner
WELLTOWER NNN GROUP, LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
O20150529000428
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
7517340771
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2025-03-01
Organization name - owner
WELLTOWER OP LLC
Doing business as name - owner
WELLTOWER LENDING GROUP LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
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
O20150529000428
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
7517340771
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-01
Organization name - owner
WELLTOWER OP LLC
Doing business as name - owner
WELLTOWER LENDING GROUP LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
O20150529000428
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
8921039223
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2025-03-01
Organization name - owner
WELLTOWER INC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
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
Y
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
N
Enrollment id
O20150529000428
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
8921039223
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-01
Organization name - owner
WELLTOWER INC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
Corporation - owner
Y
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
Y
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1153558457
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2007-03-01
First name - owner
KEVIN
Last name - owner
NICCUM
Title - owner
ADMINSTRATOR
Percentage ownership
100
Enrollment id
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1153558457
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2007-03-01
First name - owner
KEVIN
Last name - owner
NICCUM
Title - owner
ADMINISTRATOR
Enrollment id
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1153558457
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2007-03-01
First name - owner
KEVIN
Last name - owner
NICCUM
Enrollment id
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1355696865
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-03-01
First name - owner
SEPEHR
Last name - owner
DAHESHPOUR
Enrollment id
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1355696865
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-03-01
First name - owner
SEPEHR
Last name - owner
DAHESHPOUR
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1355696865
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-01
First name - owner
SEPEHR
Last name - owner
DAHESHPOUR
Enrollment id
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3072412725
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-02-20
Organization name - owner
EASTLAND MEMORIAL HOSPITAL DISTRICT
Doing business as name - owner
CISCO CLINIC
Address line 1 - owner
304 S DAUGHERTY STREET
City - owner
EASTLAND
State - owner
TX
Zip code - owner
76448
Percentage ownership
100
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
HOSPITAL DISTRICT
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3577089093
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2007-03-01
Organization name - owner
ENSIGN SERVICES INC
Address line 1 - owner
29222 RANCHO VIEJO RD
Address line 2 - owner
STE 127
City - owner
SAN JUAN CAPISTRANO
State - owner
CA
Zip code - owner
926751049
Corporation - owner
Y
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
N
Enrollment id
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
4082522305
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-07-01
First name - owner
STEPHEN
Middle name - owner
C
Last name - owner
TAYLOR
Title - owner
CEO EASTLAND MEMORIAL HOSPITAL DIST
Enrollment id
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
4385110618
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2007-03-01
Organization name - owner
MESQUITE HEALTH HOLDINGS LLC
Address line 1 - owner
905 CALLE AMANECER
Address line 2 - owner
STE 300
City - owner
SAN CLEMENTE
State - owner
CA
Zip code - owner
926736277
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
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
4587188503
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2007-03-01
Organization name - owner
CTR PARTNERSHIP LP
Address line 1 - owner
905 CALLE AMANECER
Address line 2 - owner
STE 300
City - owner
SAN CLEMENTE
State - owner
CA
Zip code - owner
926736277
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
LIMITED PARTNERSHIP
Enrollment id
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
4789104811
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2007-03-01
Organization name - owner
CARETRUST GP LLC
Address line 1 - owner
905 CALLE AMANECER
Address line 2 - owner
STE 300
City - owner
SAN CLEMENTE
State - owner
CA
Zip code - owner
926736277
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
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
5496279416
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2007-03-01
Organization name - owner
CARETRUST REIT INC
Address line 1 - owner
905 CALLE AMANECER
Address line 2 - owner
STE 300
City - owner
SAN CLEMENTE
State - owner
CA
Zip code - owner
926736277
Corporation - owner
Y
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
N
Enrollment id
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
6507082955
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2011-03-01
First name - owner
CHAD
Last name - owner
KEETCH
Title - owner
SECRETARY ENSIGN SERVICES, INC.
Enrollment id
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
9133225592
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-02-20
Organization name - owner
TOWN EAST HEALTHCARE, INC.
Doing business as name - owner
WILLOWBEND NURSING AND REHABILITATION CENTER
Address line 1 - owner
2231 HIGHWAY 80 EAST
City - owner
MESQUITE
State - owner
TX
Zip code - owner
751505510
Percentage ownership
100
Corporation - owner
Y
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
N
Enrollment id
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
9133225592
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-08-12
Organization name - owner
TOWN EAST HEALTHCARE, INC.
Doing business as name - owner
WILLOWBEND NURSING AND REHABILITATION CENTER
Address line 1 - owner
2231 HIGHWAY 80 EAST
City - owner
MESQUITE
State - owner
TX
Zip code - owner
751505510
Corporation - owner
Y
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
N
Enrollment id
O20150602001641
Associate id
3072412725
Organization name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Associate id - owner
9739195553
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2007-02-09
First name - owner
SOON
Last name - owner
BURNAM
Title - owner
SECRETARY OF MANAGEMENT COMPANY

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