Public record

CMS Skilled Nursing Facility All Owners

Associate id: 3375082621 · 16 matching records

Enrollment id
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
0648228304
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-05-10
First name - owner
JASON
Middle name - owner
H
Last name - owner
MURRAY
Percentage ownership
35.2
Enrollment id
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
0648429498
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-05-10
First name - owner
JOHN
Middle name - owner
T
Last name - owner
MITCHELL
Enrollment id
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
3971080581
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-09-01
Organization name - owner
DEH ENTERPRISES LLC
Address line 1 - owner
951 COWBOY LN
City - owner
ELLENSBURG
State - owner
WA
Zip code - owner
989268513
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
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
4486043916
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-05-10
First name - owner
FREDERICK
Middle name - owner
G
Last name - owner
APT
Enrollment id
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
5294198396
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-05-10
Organization name - owner
PROVIDENCE GROUP NH, LLC
Address line 1 - owner
262 N UNIVERSITY AVE
City - owner
FARMINGTON
State - owner
UT
Zip code - owner
840252975
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
Y
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
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
5991282501
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-09-19
First name - owner
NICHOLAS
Last name - owner
BAKER
Enrollment id
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
5991282501
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-01-23
First name - owner
NICHOLAS
Last name - owner
BAKER
Enrollment id
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
6103289202
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-05-10
Organization name - owner
PACS HOLDINGS, LLC
Address line 1 - owner
262 N UNIVERSITY AVE
City - owner
FARMINGTON
State - owner
UT
Zip code - owner
840252975
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
Y
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
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
6406094671
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-09-01
Organization name - owner
PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC
Address line 1 - owner
262 N UNIVERSITY AVE
City - owner
FARMINGTON
State - owner
UT
Zip code - owner
840252975
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
Y
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
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
6709306079
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2024-09-01
Organization name - owner
TRUIST BANK
Address line 1 - owner
214 N TRYON ST
Address line 2 - owner
FL 14
City - owner
CHARLOTTE
State - owner
NC
Zip code - owner
282021078
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
Y
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
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
6800024092
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-05-10
First name - owner
JOSHUA
Middle name - owner
O
Last name - owner
JERGENSEN
Enrollment id
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
7911360011
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-05-10
Organization name - owner
PACS GROUP, INC.
Address line 1 - owner
262 N UNIVERSITY AVE
City - owner
FARMINGTON
State - owner
UT
Zip code - owner
840252975
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
Y
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
Y
Owned by another org or ind - owner
Y
Enrollment id
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
8921194143
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-09-01
First name - owner
CHRISTOPHER
Middle name - owner
R
Last name - owner
MORRIS
Enrollment id
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
8921194143
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-01-23
First name - owner
CHRISTOPHER
Middle name - owner
R
Last name - owner
MORRIS
Enrollment id
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
9436636040
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-02-17
First name - owner
DEBORAH
Last name - owner
TOWNSEND
Enrollment id
O20240829004130
Associate id
3375082621
Organization name
WILLOWBROOK SNF HEALTHCARE LLC
Associate id - owner
9830337005
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-05-10
First name - owner
MARK
Middle name - owner
D
Last name - owner
HANCOCK
Percentage ownership
35.2

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