Public record

CMS Skilled Nursing Facility All Owners

Associate id: 3678885639 · 26 matching records

Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
2264464742
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-03-14
First name - owner
DUSTY
Last name - owner
DAVIS
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
2264464742
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-03-14
First name - owner
DUSTY
Last name - owner
DAVIS
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
3274028741
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2010-07-30
Organization name - owner
RICHARD S. KISHABA 2010 DYNASTY TRUST
Address line 1 - owner
45-181 WAIKALUA RD
City - owner
KANEOHE
State - owner
HI
Zip code - owner
967442765
Percentage ownership
90
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
3274028741
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2010-07-30
Organization name - owner
RICHARD S. KISHABA 2010 DYNASTY TRUST
Address line 1 - owner
45-181 WAIKALUA RD
City - owner
KANEOHE
State - owner
HI
Zip code - owner
967442765
Percentage ownership
90
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
5496815698
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-04-09
Organization name - owner
ST. FRANCIS HEALTHCARE SYSTEM
Address line 1 - owner
2228 LILIHA ST
Address line 2 - owner
STE 300
City - owner
HONOLULU
State - owner
HI
Zip code - owner
968171653
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
5799696092
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2014-04-23
Organization name - owner
OHANA PACIFIC MANAGEMENT COMPANY INC
Doing business as name - owner
OHANA PACIFIC HEALTH
Address line 1 - owner
45-181 WAIKALUA RD
City - owner
KANEOHE
State - owner
HI
Zip code - owner
967442765
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
Y
Other type text - owner
SUBCHAPTER S CORPORATION
Parent company - owner
Y
Owned by another org or ind - owner
Y
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
5799696092
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-04-23
Organization name - owner
OHANA PACIFIC MANAGEMENT COMPANY INC
Doing business as name - owner
OHANA PACIFIC HEALTH
Address line 1 - owner
45-181 WAIKALUA RD
City - owner
KANEOHE
State - owner
HI
Zip code - owner
967442765
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
Y
Other type text - owner
SUBCHAPTER S CORPORATION
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
5799696092
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-11-24
Organization name - owner
OHANA PACIFIC MANAGEMENT COMPANY INC
Doing business as name - owner
OHANA PACIFIC HEALTH
Address line 1 - owner
45-181 WAIKALUA RD
City - owner
KANEOHE
State - owner
HI
Zip code - owner
967442765
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
Y
Other type text - owner
SUBCHAPTER S CORPORATION
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
5799696092
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2014-04-23
Organization name - owner
OHANA PACIFIC MANAGEMENT COMPANY INC
Doing business as name - owner
OHANA PACIFIC HEALTH
Address line 1 - owner
45-181 WAIKALUA RD
City - owner
KANEOHE
State - owner
HI
Zip code - owner
967442765
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
Y
Other type text - owner
SUBCHAPTER S CORPORATION
Parent company - owner
Y
Owned by another org or ind - owner
Y
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
6002827995
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-12-15
First name - owner
RANDALL
Middle name - owner
I
Last name - owner
HATA
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
6002827995
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-12-15
First name - owner
RANDALL
Middle name - owner
I
Last name - owner
HATA
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2014-12-15
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Percentage ownership
10
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-12-15
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-12-15
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2014-12-15
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Percentage ownership
10
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
6608855986
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-01-01
First name - owner
WESLEY
Last name - owner
LO
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
6608855986
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2020-01-01
First name - owner
WESLEY
Last name - owner
LO
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
7416094495
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-02-01
First name - owner
ANDREW
Last name - owner
LORE
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
7416094495
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-02-01
First name - owner
ANDREW
Last name - owner
LORE
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
7618884289
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-04-01
First name - owner
PAMELA
Last name - owner
MCCLENNON
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
7618884289
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-01
First name - owner
PAMELA
Last name - owner
MCCLENNON
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
8224162367
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-11-01
First name - owner
ARNOLD
Last name - owner
KOP
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
8224162367
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-11-01
First name - owner
ARNOLD
Last name - owner
KOP
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
9537264957
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-01-01
First name - owner
SUANNE
Last name - owner
MORIKUNI
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
9537264957
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-01-01
First name - owner
SUANNE
Last name - owner
MORIKUNI
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
9537654843
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2019-12-27
Organization name - owner
FIRST HAWAIIAN BANK
Address line 1 - owner
999 BISHOP ST
Address line 2 - owner
STE 1100
City - owner
HONOLULU
State - owner
HI
Zip code - owner
968134423
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
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

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