Public record

CMS Skilled Nursing Facility All Owners

Associate id: 3173521176 · 19 matching records

Enrollment id
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
1456826353
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2006-10-01
Organization name - owner
MEMORIAL 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
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
1759807225
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2006-10-01
First name - owner
ISAIAH
Last name - owner
HAWKINS
Title - owner
PRESIDENT POCATELLO HEALTH SERVICES
Enrollment id
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
2466690060
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2006-10-01
Organization name - owner
PENNANT HEALTHCARE LLC
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
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
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
3476460494
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2006-10-01
Organization name - owner
THE ENSIGN GROUP 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
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
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
N
Enrollment id
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
3577089093
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2006-10-01
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
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
3779877386
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-03-29
First name - owner
TREY
Middle name - owner
D
Last name - owner
ROGERS
Enrollment id
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
3779877386
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-03-29
First name - owner
TREY
Middle name - owner
D
Last name - owner
ROGERS
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
3779877386
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-09
First name - owner
TREY
Middle name - owner
D
Last name - owner
ROGERS
Enrollment id
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
3870022825
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-09-09
First name - owner
AMI
Last name - owner
SATO
Title - owner
TREASURER POCATELLO HEALTH SERVICES
Enrollment id
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
4587188503
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2013-05-01
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
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
4688084858
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-08-09
First name - owner
GAVIN
Last name - owner
MONTEATH
Enrollment id
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
4688084858
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2019-08-09
First name - owner
GAVIN
Last name - owner
MONTEATH
Title - owner
ADMINISTRATOR
Enrollment id
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
4688084858
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-08
First name - owner
GAVIN
Last name - owner
MONTEATH
Enrollment id
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
4789104811
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2006-10-01
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
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
5496279416
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2006-10-01
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
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
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
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
6800061623
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-07-27
First name - owner
STEPHEN
Middle name - owner
W
Last name - owner
FARNSWORTH
Title - owner
DIRECTOR POCATELLO HEALTH SERVICES,
Percentage ownership
0
Enrollment id
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
9032515507
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2006-10-01
Organization name - owner
J GORRICETA PLLC
Address line 1 - owner
1977 BENGAL VIEW DR
City - owner
POCATELLO
State - owner
ID
Zip code - owner
832014994
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
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
9739195553
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2006-10-01
First name - owner
SOON
Last name - owner
BURNAM
Title - owner
SECRETARY POCATELLO HEALTH SERVICES
Percentage ownership
0

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