Public record

CMS Skilled Nursing Facility All Owners

Associate id: 3678896032 · 17 matching records

Enrollment id
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
0042448615
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-12-01
First name - owner
GLENN
Last name - owner
MATTHEWS
Title - owner
ADMINISTRATOR
Percentage ownership
0
Enrollment id
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
0042448615
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2014-12-01
First name - owner
GLENN
Last name - owner
MATTHEWS
Title - owner
ADMINISTRATOR
Enrollment id
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
0042448615
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-10
First name - owner
GLENN
Last name - owner
MATTHEWS
Enrollment id
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
3476460494
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2006-01-30
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
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
3476460494
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-12-01
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
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
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
3577089093
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-12-01
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
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
3577859644
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-09-01
First name - owner
ADAM
Last name - owner
WILLITS
Title - owner
SOLE MANAGER CLAYDELLE HEALTHCARE L
Percentage ownership
0
Enrollment id
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
3678093127
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-12-01
Organization name - owner
TWOMAGNETS LLC
Doing business as name - owner
CLIPBOARD HEALTH - TWOMAGNETS
Address line 1 - owner
440 N BARRANCA AVE
Address line 2 - owner
# 5028
City - owner
COVINA
State - owner
CA
Zip code - owner
917231722
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
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
4284640004
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2014-09-10
Organization name - owner
FLAGSTONE HEALTHCARE SOUTH 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
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
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
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
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.
Percentage ownership
0
Enrollment id
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
7012433535
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-12-01
Organization name - owner
STANDARD BEARER HEALTHCARE OP, LP
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
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
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
7113103649
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-04-01
First name - owner
BERNARD
Middle name - owner
ARON
Last name - owner
MICHLIN
Enrollment id
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
7113103649
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-04-01
First name - owner
BERNARD
Middle name - owner
ARON
Last name - owner
MICHLIN
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
7113103649
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-10
First name - owner
BERNARD
Middle name - owner
ARON
Last name - owner
MICHLIN
Enrollment id
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
9335615723
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-12-01
Organization name - owner
AVOCADO HEALTH HOLDINGS 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
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
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
9739195553
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-09-10
First name - owner
SOON
Last name - owner
BURNAM
Title - owner
SECRETARY CLAYDELLE HEALTHCARE LLC
Percentage ownership
0
Enrollment id
O20141216002222
Associate id
3678896032
Organization name
CLAYDELLE HEALTHCARE LLC
Associate id - owner
9739195553
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2014-09-10
First name - owner
SOON
Last name - owner
BURNAM
Title - owner
AUTHORIZED OFFICIAL

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