Public record

CMS Skilled Nursing Facility All Owners

Associate id: 4183940836 · 18 matching records

Enrollment id
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
0547488975
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-28
Organization name - owner
C. ROSS MANAGEMENT LLC
Address line 1 - owner
8369 RIVOLI RD
City - owner
JULIETTE
State - owner
GA
Zip code - owner
31046
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
Y
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
Y
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
0840714408
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-12
Address line 1 - owner
1166 DREWSBURY CT SE
City - owner
SMYRNA
State - owner
GA
Zip code - owner
300803949
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
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
1557885118
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-09-01
Enrollment id
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
1759805310
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2023-09-01
Organization name - owner
NORTH MOUNTAIN PROPERTY HOLDINGS LLC
Address line 1 - owner
8369 RIVOLI RD
City - owner
JULIETTE
State - owner
GA
Zip code - owner
31046
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
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
1759805310
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-09-01
Organization name - owner
NORTH MOUNTAIN PROPERTY HOLDINGS LLC
Address line 1 - owner
8369 RIVOLI RD
City - owner
JULIETTE
State - owner
GA
Zip code - owner
31046
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
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
2668996224
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2015-02-01
Address line 1 - owner
8369 RIVOLI RD
City - owner
JULIETTE
State - owner
GA
Zip code - owner
31046
Percentage ownership
1
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
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
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
3375067937
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-09-01
Enrollment id
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
4385703792
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-01-16
First name - owner
ELIZABETH
Middle name - owner
K.
Last name - owner
OBERLY
Enrollment id
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
4385703792
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-16
First name - owner
ELIZABETH
Middle name - owner
K.
Last name - owner
OBERLY
Enrollment id
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
5193249753
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-09-01
Enrollment id
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
5799677548
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-02-01
First name - owner
MICHAEL
Middle name - owner
EUGENE
Last name - owner
WINGET
Percentage ownership
99
Enrollment id
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
5799677548
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-02-01
First name - owner
MICHAEL
Middle name - owner
EUGENE
Last name - owner
WINGET
Title - owner
MANAGER
Enrollment id
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
5799677548
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-02-01
First name - owner
MICHAEL
Middle name - owner
EUGENE
Last name - owner
WINGET
Enrollment id
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
5799677548
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-02-01
First name - owner
MICHAEL
Middle name - owner
EUGENE
Last name - owner
WINGET
Enrollment id
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
5991779480
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-11-27
First name - owner
HORACE
Middle name - owner
L
Last name - owner
CLINE
Enrollment id
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
5991779480
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-11-27
First name - owner
HORACE
Middle name - owner
L
Last name - owner
CLINE
Enrollment id
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
7810411477
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-09-01
Enrollment id
O20150224001615
Associate id
4183940836
Organization name
C.R. OF WILDWOOD, LLC
Associate id - owner
9638693294
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-02-01

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