Public record

CMS Skilled Nursing Facility All Owners

Associate id: 4082912183 · 13 matching records

Enrollment id
O20160405002183
Associate id
4082912183
Organization name
FARMINGTON OPCO LLC
Associate id - owner
0244394484
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-02-01
First name - owner
CYNTHIA
Middle name - owner
R
Last name - owner
KLUCHARICH
Title - owner
ADMINISTRATOR
Enrollment id
O20160405002183
Associate id
4082912183
Organization name
FARMINGTON OPCO LLC
Associate id - owner
1658549456
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2016-02-01
Organization name - owner
CODY HEALTHCARE S CORP
Address line 1 - owner
2625 TOWNSGATE RD
Address line 2 - owner
STE 330
City - owner
WESTLAKE VILLAGE
State - owner
CA
Zip code - owner
913615749
Percentage ownership
47.55
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
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
O20160405002183
Associate id
4082912183
Organization name
FARMINGTON OPCO LLC
Associate id - owner
1759523087
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2016-02-01
Organization name - owner
B&Y TRUST
Address line 1 - owner
1605 46TH ST 2
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112041123
Percentage ownership
47.55
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
N
Other type - owner
Y
Other type text - owner
TRUST
Enrollment id
O20160405002183
Associate id
4082912183
Organization name
FARMINGTON OPCO LLC
Associate id - owner
3476461013
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-02-01
First name - owner
CRAIG
Middle name - owner
A
Last name - owner
FLASHNER
Title - owner
LLC MANAGER
Enrollment id
O20160405002183
Associate id
4082912183
Organization name
FARMINGTON OPCO LLC
Associate id - owner
3476461013
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-02-01
First name - owner
CRAIG
Middle name - owner
A
Last name - owner
FLASHNER
Title - owner
LLC MANAGER GOVERNING BODY
Enrollment id
O20160405002183
Associate id
4082912183
Organization name
FARMINGTON OPCO LLC
Associate id - owner
4082765342
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2016-02-01
First name - owner
ROBERT
Middle name - owner
L
Last name - owner
NORCROSS
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20160405002183
Associate id
4082912183
Organization name
FARMINGTON OPCO LLC
Associate id - owner
4284876517
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2016-02-01
Organization name - owner
CRAIG FLASHNER 2007 TRUST
Address line 1 - owner
2625 TOWNSGATE RD
Address line 2 - owner
STE 330
City - owner
WESTLAKE VILLAGE
State - owner
CA
Zip code - owner
913615749
Percentage ownership
47.55
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
N
Other type - owner
Y
Other type text - owner
TRUST
Enrollment id
O20160405002183
Associate id
4082912183
Organization name
FARMINGTON OPCO LLC
Associate id - owner
4789980194
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-02-01
Organization name - owner
CENTURY OPCO GROUP LLC
Address line 1 - owner
2625 TOWNSGATE RD
Address line 2 - owner
STE 330
City - owner
WESTLAKE VILLAGE
State - owner
CA
Zip code - owner
91361
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
Enrollment id
O20160405002183
Associate id
4082912183
Organization name
FARMINGTON OPCO LLC
Associate id - owner
5294903092
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2016-02-01
Organization name - owner
B&Y HEALTHCARE S CORP
Address line 1 - owner
1605 46TH ST 2
City - owner
BROOKLYN
State - owner
NY
Zip code - owner
112041123
Percentage ownership
47.55
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
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
O20160405002183
Associate id
4082912183
Organization name
FARMINGTON OPCO LLC
Associate id - owner
7517120934
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2016-02-01
First name - owner
STACEY
Middle name - owner
PAUL
Last name - owner
ROGERS
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20160405002183
Associate id
4082912183
Organization name
FARMINGTON OPCO LLC
Associate id - owner
9133271406
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-02-01
First name - owner
YITZCHOK
Middle name - owner
A
Last name - owner
PERLSTEIN
Title - owner
LLC MANAGER
Enrollment id
O20160405002183
Associate id
4082912183
Organization name
FARMINGTON OPCO LLC
Associate id - owner
9133271406
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-02-01
First name - owner
YITZCHOK
Middle name - owner
A
Last name - owner
PERLSTEIN
Title - owner
LLC MANAGER GOVERNING BODY
Enrollment id
O20160405002183
Associate id
4082912183
Organization name
FARMINGTON OPCO LLC
Associate id - owner
9133425549
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-02-01
Organization name - owner
CENTURY HEALTHCARE MANAGEMENT LLC
Address line 1 - owner
7400 NEW LA GRANGE RD
Address line 2 - owner
STE 100
City - owner
LOUISVILLE
State - owner
KY
Zip code - owner
402224870
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

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