Public record

CMS Skilled Nursing Facility All Owners

Associate id: 3375832983 · 6 matching records

Enrollment id
O20160523000236
Associate id
3375832983
Organization name
WARRENTON OPERATIONS LLC
Associate id - owner
0547656340
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-07-20
First name - owner
AMANDA
Last name - owner
COONS
Title - owner
ADMINISTRATOR
Enrollment id
O20160523000236
Associate id
3375832983
Organization name
WARRENTON OPERATIONS LLC
Associate id - owner
4789973298
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-01-08
Organization name - owner
DERKO 2, LLC
Address line 1 - owner
276 CEDARBRIDGE AVE
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
08701
Percentage ownership
50
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
Enrollment id
O20160523000236
Associate id
3375832983
Organization name
WARRENTON OPERATIONS LLC
Associate id - owner
7315175171
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2016-01-08
First name - owner
JUDY
Last name - owner
KUSHNER
Percentage ownership
50
Enrollment id
O20160523000236
Associate id
3375832983
Organization name
WARRENTON OPERATIONS LLC
Associate id - owner
7315175171
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-01-16
First name - owner
JUDY
Last name - owner
KUSHNER
Title - owner
MANAGER (HIGHEST RANKING OFFICI
Percentage ownership
50
Enrollment id
O20160523000236
Associate id
3375832983
Organization name
WARRENTON OPERATIONS LLC
Associate id - owner
8325382161
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-01-01
Organization name - owner
REG 2018 IRREVOCABLE TRUST U/A/D 1/1/18
Address line 1 - owner
8501 LAWNDALE AVE
City - owner
SKOKIE
State - owner
IL
Zip code - owner
600762331
Percentage ownership
50
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
TRUST
Enrollment id
O20160523000236
Associate id
3375832983
Organization name
WARRENTON OPERATIONS LLC
Associate id - owner
9638248057
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-01-16
First name - owner
ABRAHAM
Last name - owner
GUTNICKI
Title - owner
MANAGER
Percentage ownership
50

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