Public record

CMS Skilled Nursing Facility All Owners

Associate id: 3971940917 · 13 matching records

Enrollment id
O20240326001625
Associate id
3971940917
Organization name
GREENVILLE OPCO LLC
Associate id - owner
0941647986
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-01
Organization name - owner
13455 US 90 GREENVILLE HOLDCO LLC
Address line 1 - owner
144 SHADY LANE DR
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087012351
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
N
Owned by another org or ind - owner
Y
Enrollment id
O20240326001625
Associate id
3971940917
Organization name
GREENVILLE OPCO LLC
Associate id - owner
1850827866
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-01
First name - owner
SARAH
Last name - owner
BECHER
Percentage ownership
1
Enrollment id
O20240326001625
Associate id
3971940917
Organization name
GREENVILLE OPCO LLC
Associate id - owner
4981618246
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-12-31
First name - owner
SHAUN
Middle name - owner
E
Last name - owner
LAURIE
Enrollment id
O20240326001625
Associate id
3971940917
Organization name
GREENVILLE OPCO LLC
Associate id - owner
4981618246
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-08-01
First name - owner
SHAUN
Middle name - owner
E
Last name - owner
LAURIE
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20240326001625
Associate id
3971940917
Organization name
GREENVILLE OPCO LLC
Associate id - owner
4981618246
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-31
First name - owner
SHAUN
Middle name - owner
E
Last name - owner
LAURIE
Enrollment id
O20240326001625
Associate id
3971940917
Organization name
GREENVILLE OPCO LLC
Associate id - owner
5597108316
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-01
Organization name - owner
VRD 10 HLDCO LLC
Address line 1 - owner
100 BOULEVARD OF THE AMERICAS
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
08701
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
N
Owned by another org or ind - owner
Y
Enrollment id
O20240326001625
Associate id
3971940917
Organization name
GREENVILLE OPCO LLC
Associate id - owner
5698072395
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-01
First name - owner
ELIYAHU
Last name - owner
MIRLIS
Percentage ownership
65
Enrollment id
O20240326001625
Associate id
3971940917
Organization name
GREENVILLE OPCO LLC
Associate id - owner
5698072395
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-08-01
First name - owner
ELIYAHU
Last name - owner
MIRLIS
Title - owner
MANAGER
Percentage ownership
100
Enrollment id
O20240326001625
Associate id
3971940917
Organization name
GREENVILLE OPCO LLC
Associate id - owner
5698072395
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-31
First name - owner
ELIYAHU
Last name - owner
MIRLIS
Enrollment id
O20240326001625
Associate id
3971940917
Organization name
GREENVILLE OPCO LLC
Associate id - owner
8527250828
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-08-01
First name - owner
SABRINA
Middle name - owner
L
Last name - owner
CAMERON
Title - owner
ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20240326001625
Associate id
3971940917
Organization name
GREENVILLE OPCO LLC
Associate id - owner
8527250828
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-12-31
First name - owner
SABRINA
Middle name - owner
L
Last name - owner
CAMERON
Enrollment id
O20240326001625
Associate id
3971940917
Organization name
GREENVILLE OPCO LLC
Associate id - owner
8527250828
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-08-01
First name - owner
SABRINA
Middle name - owner
L
Last name - owner
CAMERON
Title - owner
ADMINISTRATOR
Enrollment id
O20240326001625
Associate id
3971940917
Organization name
GREENVILLE OPCO LLC
Associate id - owner
8527250828
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-31
First name - owner
SABRINA
Middle name - owner
L
Last name - owner
CAMERON

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