Public record

CMS Skilled Nursing Facility All Owners

Associate id: 3870028004 · 15 matching records

Enrollment id
O20241126000200
Associate id
3870028004
Organization name
CARRIE ELLIGSON GIETNER HEALTH CARE CENTER LLC
Associate id - owner
1557792165
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-19
Organization name - owner
RCG INC
Address line 1 - owner
1861 CRAIG PARK CT
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631464122
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
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
O20241126000200
Associate id
3870028004
Organization name
CARRIE ELLIGSON GIETNER HEALTH CARE CENTER LLC
Associate id - owner
1658762539
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2024-10-01
Organization name - owner
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST
Address line 1 - owner
26 ALLEGRO LAKE ESTATES DR
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631417857
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
Enrollment id
O20241126000200
Associate id
3870028004
Organization name
CARRIE ELLIGSON GIETNER HEALTH CARE CENTER LLC
Associate id - owner
1658762539
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-19
Organization name - owner
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST
Address line 1 - owner
26 ALLEGRO LAKE ESTATES DR
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631417857
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
Enrollment id
O20241126000200
Associate id
3870028004
Organization name
CARRIE ELLIGSON GIETNER HEALTH CARE CENTER LLC
Associate id - owner
1951309095
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-10-01
First name - owner
RICHARD
Middle name - owner
J
Last name - owner
DESTEFANE
Title - owner
PRESIDENT
Percentage ownership
100
Enrollment id
O20241126000200
Associate id
3870028004
Organization name
CARRIE ELLIGSON GIETNER HEALTH CARE CENTER LLC
Associate id - owner
1951309095
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-10-01
First name - owner
RICHARD
Middle name - owner
J
Last name - owner
DESTEFANE
Title - owner
PRESIDENT
Enrollment id
O20241126000200
Associate id
3870028004
Organization name
CARRIE ELLIGSON GIETNER HEALTH CARE CENTER LLC
Associate id - owner
1951309095
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-16
First name - owner
RICHARD
Middle name - owner
J
Last name - owner
DESTEFANE
Enrollment id
O20241126000200
Associate id
3870028004
Organization name
CARRIE ELLIGSON GIETNER HEALTH CARE CENTER LLC
Associate id - owner
4688749625
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-10-01
Organization name - owner
RELIANT CARE GROUP LLC
Address line 1 - owner
1869 CRAIG PARK CT
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631464122
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
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
Y
Owned by another org or ind - owner
Y
Enrollment id
O20241126000200
Associate id
3870028004
Organization name
CARRIE ELLIGSON GIETNER HEALTH CARE CENTER LLC
Associate id - owner
4981138849
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-19
Organization name - owner
TLG II LLP
Address line 1 - owner
1869 CRAIG PARK CT
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631464122
Corporation - owner
N
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
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 LIABILITY PARTENERSHIP
Enrollment id
O20241126000200
Associate id
3870028004
Organization name
CARRIE ELLIGSON GIETNER HEALTH CARE CENTER LLC
Associate id - owner
5092951160
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-16
Organization name - owner
RELIANT CARE MANAGEMENT COMPANY LLC
Address line 1 - owner
1869 CRAIG PARK CT
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631464122
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
Y
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
O20241126000200
Associate id
3870028004
Organization name
CARRIE ELLIGSON GIETNER HEALTH CARE CENTER LLC
Associate id - owner
5193251049
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-16
Organization name - owner
GIETNER ASSOCIATES LLC
Address line 1 - owner
1869 CRAIG PARK CT
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631464122
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
O20241126000200
Associate id
3870028004
Organization name
CARRIE ELLIGSON GIETNER HEALTH CARE CENTER LLC
Associate id - owner
6204928328
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-12-31
First name - owner
ABDULLAH
Last name - owner
ARSHAD
Enrollment id
O20241126000200
Associate id
3870028004
Organization name
CARRIE ELLIGSON GIETNER HEALTH CARE CENTER LLC
Associate id - owner
6204928328
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-31
First name - owner
ABDULLAH
Last name - owner
ARSHAD
Enrollment id
O20241126000200
Associate id
3870028004
Organization name
CARRIE ELLIGSON GIETNER HEALTH CARE CENTER LLC
Associate id - owner
7315471299
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-19
Organization name - owner
RELIANT CARE GROUP OF WEBSTER INC
Address line 1 - owner
1861 CRAIG PARK CT
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631464122
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
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
O20241126000200
Associate id
3870028004
Organization name
CARRIE ELLIGSON GIETNER HEALTH CARE CENTER LLC
Associate id - owner
9830539089
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-12-31
First name - owner
RIKEESHA
Last name - owner
WHITE
Enrollment id
O20241126000200
Associate id
3870028004
Organization name
CARRIE ELLIGSON GIETNER HEALTH CARE CENTER LLC
Associate id - owner
9830539089
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-31
First name - owner
RIKEESHA
Last name - owner
WHITE

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