Public record

CMS Skilled Nursing Facility All Owners

Associate id: 4587574355 · 50 matching records

Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
1850201625
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2005-07-01
Organization name - owner
LIBERTY HEALTHCARE MANAGEMENT INC
Address line 1 - owner
2334 41ST STREET
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
28403
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
N
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
2961762422
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-04-29
Organization name - owner
RONALD B. AND CYNTHIA J. MCNEILL 2013 IRREVOCABLE TRUST
Address line 1 - owner
2334 41ST STREET
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
28403
Percentage ownership
24
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
N
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
3173852910
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-04-29
First name - owner
PATIENCE
Middle name - owner
N
Last name - owner
OSANO
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
3173852910
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-12-08
First name - owner
PATIENCE
Middle name - owner
N
Last name - owner
OSANO
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
3577473347
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-03-10
First name - owner
JEFFREY
Middle name - owner
S.
Last name - owner
WILSON
Title - owner
PRESIDENT, LTC
Percentage ownership
100
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
3577473347
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-29
First name - owner
JEFFREY
Middle name - owner
S.
Last name - owner
WILSON
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
4587574355
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-04-29
Organization name - owner
LIBERTY HEALTHCARE GROUP LLC
Doing business as name - owner
LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF WATAUGA COUNTY
Address line 1 - owner
2334 41ST STREET
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
28403
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
N
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
5395655161
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2005-07-01
First name - owner
JOHN
Middle name - owner
ALBERT
Last name - owner
MCNEILL
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
5395655161
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2011-03-10
First name - owner
JOHN
Middle name - owner
ALBERT
Last name - owner
MCNEILL
Percentage ownership
50
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
5395655161
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2005-08-18
First name - owner
JOHN
Middle name - owner
ALBERT
Last name - owner
MCNEILL
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
5395655161
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-03-10
First name - owner
JOHN
Middle name - owner
ALBERT
Last name - owner
MCNEILL
Title - owner
MEMBER/MANAGER
Percentage ownership
100
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
6103969829
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-03-10
First name - owner
JOSEPH
Middle name - owner
V
Last name - owner
CALCUTT
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
6305756172
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2005-07-01
Organization name - owner
LIBERTY LONG TERM CARE LLC
Address line 1 - owner
2334 SOUTH 41ST STREET
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
28403
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
N
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
6305756172
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2025-04-29
Organization name - owner
LIBERTY LONG TERM CARE LLC
Address line 1 - owner
2334 SOUTH 41ST STREET
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
28403
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
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
N
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
7416047246
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2011-03-10
Organization name - owner
LONG TERM CARE MANAGEMENT SERVICES LLC
Address line 1 - owner
2334 SOUTH 41 STREET
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
284035502
Percentage ownership
100
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
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
7416047246
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-03-10
Organization name - owner
LONG TERM CARE MANAGEMENT SERVICES LLC
Address line 1 - owner
2334 SOUTH 41 STREET
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
284035502
Percentage ownership
100
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
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
7719983766
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-04-29
First name - owner
RAJAN
Last name - owner
MITCHELL
Title - owner
SENIOR DIRECTOR OF REVENUE CYCLE
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
7719983766
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-04-29
First name - owner
RAJAN
Last name - owner
MITCHELL
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
7719983766
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-12-08
First name - owner
RAJAN
Last name - owner
MITCHELL
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
8022363373
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-04-29
First name - owner
ROBERT
Middle name - owner
B
Last name - owner
MILLER
Title - owner
SENIOR DIRECTOR OF REVENUE CYCLE
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
8022363373
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-29
First name - owner
ROBERT
Middle name - owner
B
Last name - owner
MILLER
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
8022928894
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2005-07-01
First name - owner
RONALD
Middle name - owner
BENJAMIN
Last name - owner
MCNEILL
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
8022928894
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2011-03-10
First name - owner
RONALD
Middle name - owner
BENJAMIN
Last name - owner
MCNEILL
Percentage ownership
50
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
8022928894
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2005-08-18
First name - owner
RONALD
Middle name - owner
BENJAMIN
Last name - owner
MCNEILL
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
8022928894
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-03-10
First name - owner
RONALD
Middle name - owner
BENJAMIN
Last name - owner
MCNEILL
Percentage ownership
100
Enrollment id
O20050818000157
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
8224398789
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-04-29
Organization name - owner
JOHN A MCNEILL JR 2012 IRRV TR
Address line 1 - owner
2334 41ST STREET
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
28403
Percentage ownership
24
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
N
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
0446769475
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-02-17
First name - owner
JENNY
Last name - owner
PURVIS
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
1850201625
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-02-17
Organization name - owner
LIBERTY HEALTHCARE MANAGEMENT INC
Address line 1 - owner
2334 SOUTH 41ST SREET
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
28403
Corporation - owner
Y
Llc - owner
N
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
Y
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
2466723077
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-02-17
First name - owner
VERONICA
Last name - owner
SLADE
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
2466723077
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-09-03
First name - owner
VERONICA
Last name - owner
SLADE
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
2668403601
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2005-07-01
Organization name - owner
LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF HALIFAX COUNTY, L
Address line 1 - owner
101 CAROLINA AVENUE
City - owner
WELSON
State - owner
NC
Zip code - owner
27890
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
N
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
2860416690
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-02-17
First name - owner
TRINA
Last name - owner
PRATHER
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
2860416690
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-09-03
First name - owner
TRINA
Last name - owner
PRATHER
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
2860911682
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-17
Organization name - owner
JOHN A MCNEILL JR 2014 IRREVOCABLE TRUST
Address line 1 - owner
2334 S 41ST ST
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
284035502
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
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
2860928223
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-17
Organization name - owner
LIBERTY REAL PROPERTIES II LLC
Address line 1 - owner
2334 S 41ST ST
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
284035502
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
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
2961762422
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-02-17
Organization name - owner
RONALD B. AND CYNTHIA J. MCNEILL 2013 IRREVOCABLE TRUST
Address line 1 - owner
2334 S 41ST ST
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
284035502
Percentage ownership
24
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
N
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
3577473347
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-02-17
First name - owner
JEFFREY
Middle name - owner
S.
Last name - owner
WILSON
Title - owner
COO
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
3577473347
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-01-01
First name - owner
JEFFREY
Middle name - owner
S.
Last name - owner
WILSON
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
4587183306
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-17
Organization name - owner
RONALD B AND CYNTHIA J MCNEIL 2014 IRREVOCABLE TRUST
Address line 1 - owner
2334 S 41ST ST
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
284035502
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
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
5395655161
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2005-08-18
First name - owner
JOHN
Middle name - owner
ALBERT
Last name - owner
MCNEILL
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
5395655161
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-17
First name - owner
JOHN
Middle name - owner
ALBERT
Last name - owner
MCNEILL
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
5395655161
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-02-17
First name - owner
JOHN
Middle name - owner
ALBERT
Last name - owner
MCNEILL
Percentage ownership
26
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
6103969829
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-02-17
First name - owner
JOSEPH
Middle name - owner
V
Last name - owner
CALCUTT
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
6103969829
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-17
First name - owner
JOSEPH
Middle name - owner
V
Last name - owner
CALCUTT
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
6305756172
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2005-07-01
Organization name - owner
LIBERTY LONG TERM CARE LLC
Address line 1 - owner
2334 SOUTH 41ST STREET
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
28403
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
N
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
6305756172
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2025-02-17
Organization name - owner
LIBERTY LONG TERM CARE LLC
Address line 1 - owner
2334 SOUTH 41ST STREET
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
28403
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
N
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
7012828643
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2008-01-01
First name - owner
PENNY
Middle name - owner
T.
Last name - owner
PURIFOY
Enrollment id
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
7416047246
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-02-17
Organization name - owner
LONG TERM CARE MANAGEMENT SERVICES LLC
Address line 1 - owner
2334 S 41ST ST
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
284035502
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
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
7416047246
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-17
Organization name - owner
LONG TERM CARE MANAGEMENT SERVICES LLC
Address line 1 - owner
2334 S 41ST ST
City - owner
WILMINGTON
State - owner
NC
Zip code - owner
284035502
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
O20050818000200
Associate id
4587574355
Organization name
LIBERTY HEALTHCARE GROUP LLC
Associate id - owner
8022363373
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-02-17
First name - owner
ROBERT
Middle name - owner
B
Last name - owner
MILLER
Title - owner
SENIOR DIRECTOR OF REVENUE CYCLE

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