Public record

CMS Skilled Nursing Facility All Owners

Associate id: 3971015108 · 30 matching records

Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
0143732370
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2025-05-01
Organization name - owner
RUTHERFORDTON PARENTCO LLC
Address line 1 - owner
1040 CROWN POINTE PKWY
Address line 2 - owner
STE 600
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303384741
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
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
1052823283
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-05-01
Organization name - owner
OUH HOLDCO LLC
Address line 1 - owner
1040 CROWN POINTE PKWY
Address line 2 - owner
STE 600
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303384741
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
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
1850470584
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-05-01
First name - owner
SHERRY
Last name - owner
KENNEDY
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
1850470584
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-05-01
First name - owner
SHERRY
Last name - owner
KENNEDY
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
1951618156
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-05-01
First name - owner
JEFFREY
Middle name - owner
THEODORE
Last name - owner
HAINSWORTH
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
1951618156
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-05-01
First name - owner
JEFFREY
Middle name - owner
THEODORE
Last name - owner
HAINSWORTH
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
1951813187
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-05-01
Organization name - owner
NU C II IRREVOCABLE TRUST
Address line 1 - owner
250 GREENWICH ST
Address line 2 - owner
FL 46
City - owner
NEW YORK
State - owner
NY
Zip code - owner
100072337
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
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
Y
Other type - owner
N
Parent company - owner
Y
Owned by another org or ind - owner
N
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
2961914197
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-05-01
Organization name - owner
NCOP HOLDCO LLC
Address line 1 - owner
1040 CROWN POINTE PKWY
Address line 2 - owner
STE 600
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303384741
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
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
3779095906
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-18
Doing business as name - owner
SYNERGY HEALTHCARE SERVICES
Address line 1 - owner
1040 CROWN POINTE PKWY
Address line 2 - owner
STE 600
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303384741
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
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
3870005002
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-05-01
Organization name - owner
SNF CARE CENTERS LLC
Address line 1 - owner
1040 CROWN POINTE PKWY
Address line 2 - owner
STE 600
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303384741
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
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
4688186810
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-05-01
Organization name - owner
SNF MGR LLC
Doing business as name - owner
AVARDIS HEALTH
Address line 1 - owner
1040 CROWN POINTE PKWY
Address line 2 - owner
STE 600
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303384741
Corporation - owner
N
Llc - owner
Y
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
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
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
4688186810
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-18
Organization name - owner
SNF MGR LLC
Doing business as name - owner
AVARDIS HEALTH
Address line 1 - owner
1040 CROWN POINTE PKWY
Address line 2 - owner
STE 600
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303384741
Corporation - owner
N
Llc - owner
Y
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
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
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
5193862761
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-05-01
First name - owner
BRANDI
Middle name - owner
H
Last name - owner
SEMONES
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
5193862761
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-05-01
First name - owner
BRANDI
Middle name - owner
H
Last name - owner
SEMONES
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
5193862761
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-05-01
First name - owner
BRANDI
Middle name - owner
H
Last name - owner
SEMONES
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
5597277723
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-24
Address line 1 - owner
101 E STATE ST
City - owner
KENNETT SQUARE
State - owner
PA
Zip code - owner
193483109
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
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
5698287829
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-05-01
Organization name - owner
ZENITH HOLDCO II LLC
Address line 1 - owner
1040 CROWN POINTE PKWY
Address line 2 - owner
STE 600
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303384741
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
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
7214449446
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-18
Doing business as name - owner
CARE.AI
Address line 1 - owner
7300 SANDLAKE COMMONS BLVD
Address line 2 - owner
STE 327
City - owner
ORLANDO
State - owner
FL
Zip code - owner
328198008
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
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
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
7315391984
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-05-01
First name - owner
TIFFANY
Last name - owner
HOBACK
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
7315391984
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-05-01
First name - owner
TIFFANY
Last name - owner
HOBACK
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
7315391984
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-05-01
First name - owner
TIFFANY
Last name - owner
HOBACK
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
7315459542
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-05-01
Organization name - owner
ZENITH HOLDCO LLC
Address line 1 - owner
1040 CROWN POINTE PKWY
Address line 2 - owner
STE 600
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303384741
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
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
8022520253
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-05-01
First name - owner
TEQUILLA
Last name - owner
JONES
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
8022520253
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-05-01
First name - owner
TEQUILLA
Last name - owner
JONES
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
8123530359
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-18
Address line 1 - owner
1 CVS DR
City - owner
WOONSOCKET
State - owner
RI
Zip code - owner
028956146
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
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
9032621263
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2025-05-01
Organization name - owner
FC ENCORE RUTHERFORDTON LLC
Address line 1 - owner
303 INTERNATIONAL CIR
Address line 2 - owner
STE 200
City - owner
HUNT VALLEY
State - owner
MD
Zip code - owner
210301359
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
Y
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
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
9032621263
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-05-01
Organization name - owner
FC ENCORE RUTHERFORDTON LLC
Address line 1 - owner
303 INTERNATIONAL CIR
Address line 2 - owner
STE 200
City - owner
HUNT VALLEY
State - owner
MD
Zip code - owner
210301359
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
Y
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
9133631369
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-05-01
Organization name - owner
NU C IRREVOCABLE TRUST
Address line 1 - owner
250 GREENWICH ST
Address line 2 - owner
FL 46
City - owner
NEW YORK
State - owner
NY
Zip code - owner
100072337
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
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
Y
Other type - owner
N
Parent company - owner
Y
Owned by another org or ind - owner
N
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
9931611167
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-05-01
First name - owner
CHRISTINA
Last name - owner
FRANKLIN
Enrollment id
O20250624002200
Associate id
3971015108
Organization name
518 OLD US HIGHWAY 221 OPCO LLC
Associate id - owner
9931611167
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-05-01
First name - owner
CHRISTINA
Last name - owner
FRANKLIN

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