Public record

CMS Skilled Nursing Facility All Owners

Associate id: 3971848029 · 19 matching records

Enrollment id
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
0143667147
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2019-06-17
Organization name - owner
AGRP 2011 TRUST
Address line 1 - owner
22 PLEASANT RIDGE RD
City - owner
SPRING VALLEY
State - owner
NY
Zip code - owner
109771609
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
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
0143667147
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-06-17
Organization name - owner
AGRP 2011 TRUST
Address line 1 - owner
22 PLEASANT RIDGE RD
City - owner
SPRING VALLEY
State - owner
NY
Zip code - owner
109771609
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
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
0143667147
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-06-17
Organization name - owner
AGRP 2011 TRUST
Address line 1 - owner
22 PLEASANT RIDGE RD
City - owner
SPRING VALLEY
State - owner
NY
Zip code - owner
109771609
Percentage ownership
7.5
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
Y
Enrollment id
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
0941547392
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-10-12
Organization name - owner
FAIR HAVENS INTERMEDIATE HOLDCO, LLC
Address line 1 - owner
22 PLEASANT RIDGE RD
City - owner
SPRING VALLEY
State - owner
NY
Zip code - owner
109771609
Percentage ownership
100
Created for acquisition - owner
Y
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
Y
Owned by another org or ind - owner
Y
Enrollment id
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
1658769518
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-06-17
First name - owner
JEREMIE
Last name - owner
PARITZKY
Enrollment id
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
1658769518
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-06-17
First name - owner
JEREMIE
Last name - owner
PARITZKY
Percentage ownership
55
Enrollment id
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
2062802523
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-06-17
First name - owner
JACOB
Last name - owner
BENGIO
Enrollment id
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
2163657644
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-03-31
First name - owner
JOSE
Middle name - owner
A
Last name - owner
SUAREZ
Enrollment id
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
2163657644
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-31
First name - owner
JOSE
Middle name - owner
A
Last name - owner
SUAREZ
Enrollment id
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
5698112696
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2019-06-17
Organization name - owner
DEBORAH PHILIPSON 2011 FAMILY TRUST
Address line 1 - owner
22 PLEASANT RIDGE RD
City - owner
SPRING VALLEY
State - owner
NY
Zip code - owner
109771609
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
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
5698112696
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-06-17
Organization name - owner
DEBORAH PHILIPSON 2011 FAMILY TRUST
Address line 1 - owner
22 PLEASANT RIDGE RD
City - owner
SPRING VALLEY
State - owner
NY
Zip code - owner
109771609
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
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
5698112696
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-06-17
Organization name - owner
DEBORAH PHILIPSON 2011 FAMILY TRUST
Address line 1 - owner
22 PLEASANT RIDGE RD
City - owner
SPRING VALLEY
State - owner
NY
Zip code - owner
109771609
Percentage ownership
7.5
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
Y
Enrollment id
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
6204341365
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-06-17
Organization name - owner
VENTURA SERVICES - FLORIDA, LLC
Address line 1 - owner
2901 STIRLING RD
Address line 2 - owner
STE 200
City - owner
FT LAUDERDALE
State - owner
FL
Zip code - owner
333126529
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
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
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
6204355241
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-06-17
Organization name - owner
RICHARDS MITCHELL & CROSS PA
Address line 1 - owner
2123 CENTRE POINTE BLVD
City - owner
TALLAHASSEE
State - owner
FL
Zip code - owner
323084930
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
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
6608097449
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-10-01
First name - owner
SANDOR
Middle name - owner
A
Last name - owner
ROMERO
Enrollment id
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
7719115450
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-06-17
Organization name - owner
PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLC
Address line 1 - owner
22 PLEASANT RIDGE RD
City - owner
SPRING VALLEY
State - owner
NY
Zip code - owner
109771609
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
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
7719115450
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-06-17
Organization name - owner
PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLC
Address line 1 - owner
22 PLEASANT RIDGE RD
City - owner
SPRING VALLEY
State - owner
NY
Zip code - owner
109771609
Percentage ownership
15
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
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
Y
Enrollment id
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
9931347846
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-06-17
First name - owner
DANIEL
Last name - owner
SCHAFFER
Enrollment id
O20181218004150
Associate id
3971848029
Organization name
FAIR HAVENS OPCO, LLC
Associate id - owner
9931347846
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-06-17
First name - owner
DANIEL
Last name - owner
SCHAFFER
Percentage ownership
30

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list