Public record

CMS Skilled Nursing Facility All Owners

Associate id: 4688801715 · 50 matching records

Enrollment id
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
0446769848
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-03-01
Organization name - owner
1670 LINGLEVILLE ROAD OPCO, LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
0446769848
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-22
Organization name - owner
1670 LINGLEVILLE ROAD OPCO, LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1355850751
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2025-03-01
Organization name - owner
1670 LINGLEVILLE ROAD PROPERTY OWNER, LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
Y
Enrollment id
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1355850751
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-01
Organization name - owner
1670 LINGLEVILLE ROAD PROPERTY OWNER, LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3072612670
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-02-14
First name - owner
BRIAN
Last name - owner
ROLAND
Title - owner
CEO
Enrollment id
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3870870553
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-03-01
First name - owner
NOCHUM
Last name - owner
FREUND
Enrollment id
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
4688801715
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-02-28
Organization name - owner
STEPHENS MEMORIAL HOSPITAL DISTRICT
Doing business as name - owner
BRECKENRIDGE MEDICAL CENTER
Address line 1 - owner
200 S GENEVA ST
City - owner
BRECKENRIDGE
State - owner
TX
Zip code - owner
764244702
Percentage ownership
100
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
HOSPITAL DISTRICT
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
5092233023
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-03-01
First name - owner
AARON
Last name - owner
TRAVITSKY
Enrollment id
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
6103344130
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2025-03-01
Organization name - owner
WELLTOWER NNN GROUP, LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
Y
Enrollment id
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
6103344130
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-01
Organization name - owner
WELLTOWER NNN GROUP, LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
7416942354
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-03-01
First name - owner
JAMES
Last name - owner
EASLEY
Title - owner
CEO
Percentage ownership
0
Enrollment id
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
7517340771
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2025-03-01
Organization name - owner
WELLTOWER OP LLC
Doing business as name - owner
WELLTOWER LENDING GROUP LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
Y
Enrollment id
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
7517340771
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-01
Organization name - owner
WELLTOWER OP LLC
Doing business as name - owner
WELLTOWER LENDING GROUP LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
7517476914
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-01
Enrollment id
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
8426567827
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-01
First name - owner
GARRY
Last name - owner
ZUBAL
Enrollment id
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
8921039223
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2025-03-01
Organization name - owner
WELLTOWER INC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
Percentage ownership
100
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
Y
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
O20150716001492
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
8921039223
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-01
Organization name - owner
WELLTOWER INC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
Y
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
0749554228
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-07-01
First name - owner
BRUCE
Last name - owner
CURRY
Title - owner
DIRECTOR
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1052322328
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-01-01
First name - owner
MALISA
Middle name - owner
A
Last name - owner
BLAKE
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1052322328
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-01
First name - owner
MALISA
Middle name - owner
A
Last name - owner
BLAKE
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1557886280
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-07-01
First name - owner
GENA
Last name - owner
SPEER
Title - owner
CHIEF EXECUTIVE OFFICER
Percentage ownership
0
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1557886280
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-07-01
First name - owner
GENA
Last name - owner
SPEER
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
2062322787
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-01-01
First name - owner
GARY
Middle name - owner
R
Last name - owner
BLAKE
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
2062322787
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-01
First name - owner
GARY
Middle name - owner
R
Last name - owner
BLAKE
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
2163926395
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-14
First name - owner
CLARA
Last name - owner
BORTEY
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3678572914
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-01
First name - owner
LINDA
Middle name - owner
F
Last name - owner
HUGGINS
Title - owner
VP OF ACCOUNTS RECEIVABLE
Percentage ownership
0
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3779625066
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2017-04-01
First name - owner
KARL
Middle name - owner
K
Last name - owner
SIMMONS
Title - owner
DIRECTOR
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
4688801715
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2017-04-01
Organization name - owner
STEPHENS MEMORIAL HOSPITAL DISTRICT
Doing business as name - owner
BRECKENRIDGE MEDICAL CENTER
Address line 1 - owner
200 S GENEVA ST
City - owner
BRECKENRIDGE
State - owner
TX
Zip code - owner
764244702
Percentage ownership
100
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
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
Y
Other type text - owner
HOSPITAL DISTRICT
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
5890299028
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-01-01
Organization name - owner
GRAND PRAIRIE I ENTERPRISES, L.L.C.
Address line 1 - owner
4150 INTERNATIONAL PLZ
Address line 2 - owner
STE 200
City - owner
FORT WORTH
State - owner
TX
Zip code - owner
761094875
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
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
5890299028
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-14
Organization name - owner
GRAND PRAIRIE I ENTERPRISES, L.L.C.
Address line 1 - owner
4150 INTERNATIONAL PLZ
Address line 2 - owner
STE 200
City - owner
FORT WORTH
State - owner
TX
Zip code - owner
761094875
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
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
6103139365
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-04-01
First name - owner
JOHN
Middle name - owner
T
Last name - owner
ECHOLS
Title - owner
BOARD CHAIRMAN
Percentage ownership
0
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
6103139365
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2017-04-01
First name - owner
JOHN
Middle name - owner
T
Last name - owner
ECHOLS
Title - owner
BOARD CHAIRMAN
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
6709263973
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-07-01
First name - owner
GREGG
Last name - owner
GOODALL
Title - owner
TREASURER
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
7517344781
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-07-01
First name - owner
KAYLEE
Last name - owner
CURTIS
Title - owner
DIRECTOR
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
8426166018
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2017-04-01
First name - owner
WADE
Middle name - owner
B
Last name - owner
TOOMBS
Title - owner
VICE CHAIRMAN
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
9234659293
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-07-01
First name - owner
ZACHARY
Last name - owner
WILLIG
Title - owner
LICENSING MANAGER
Percentage ownership
0
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
9739239088
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-14
First name - owner
NORBERTO
Middle name - owner
JC
Last name - owner
MONTANI
Enrollment id
O20170721000197
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
9830463314
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-07-01
First name - owner
TODD
Last name - owner
TIDWELL
Title - owner
SECRETARY
Enrollment id
O20170802002089
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
1557886280
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-01-01
First name - owner
GENA
Last name - owner
SPEER
Title - owner
CEO
Enrollment id
O20170802002089
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
4688801715
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2017-04-01
Organization name - owner
STEPHENS MEMORIAL HOSPITAL DISTRICT
Doing business as name - owner
BRECKENRIDGE MEDICAL CENTER
Address line 1 - owner
200 S GENEVA ST
City - owner
BRECKENRIDGE
State - owner
TX
Zip code - owner
764244702
Percentage ownership
100
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
NON-STATE GOVERNMENT OWNED HOSPITAL DIST
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20170802002089
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
5698045284
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-01-06
First name - owner
MABEL
Last name - owner
NIKOI
Enrollment id
O20170802002089
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
5698045284
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-10-01
First name - owner
MABEL
Last name - owner
NIKOI
Enrollment id
O20170802002089
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
8628007762
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-10-01
First name - owner
SYED
Middle name - owner
M A
Last name - owner
JAMAL
Enrollment id
O20170802002089
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
8628007762
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-10-01
First name - owner
SYED
Middle name - owner
M A
Last name - owner
JAMAL
Enrollment id
O20170809002364
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
0345755138
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2025-03-01
Organization name - owner
224 E 6TH STREET PROEPRTY OWNER, LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
Y
Enrollment id
O20170809002364
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
0345755138
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-01
Organization name - owner
224 E 6TH STREET PROEPRTY OWNER, LLC
Address line 1 - owner
338 WHITESVILLE RD
City - owner
JACKSON
State - owner
NJ
Zip code - owner
08527
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
O20170809002364
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
2860518321
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-03-01
First name - owner
TIMOTHY
Middle name - owner
SHANE
Last name - owner
MARTIN
Enrollment id
O20170809002364
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
2860518321
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-01
First name - owner
TIMOTHY
Middle name - owner
SHANE
Last name - owner
MARTIN
Enrollment id
O20170809002364
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3072612670
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-02-14
First name - owner
BRIAN
Last name - owner
ROLAND
Title - owner
CEO
Percentage ownership
0
Enrollment id
O20170809002364
Associate id
4688801715
Organization name
STEPHENS MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3870870553
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-03-01
First name - owner
NOCHUM
Last name - owner
FREUND

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