Public record

CMS Skilled Nursing Facility All Owners

Associate id: 4789090028 · 11 matching records

Enrollment id
O20210310002270
Associate id
4789090028
Organization name
FAIRFAX OPERATOR LLC
Associate id - owner
0941638761
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-10-31
Organization name - owner
JKVA HOLDINGS LLC
Address line 1 - owner
200 S 10TH ST
Address line 2 - owner
STE 1600
City - owner
RICHMOND
State - owner
VA
Zip code - owner
232194061
Percentage ownership
29.6
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
Enrollment id
O20210310002270
Associate id
4789090028
Organization name
FAIRFAX OPERATOR LLC
Associate id - owner
1951739770
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-10-31
Organization name - owner
CHARLES 1994 FAMILY GRANTOR TRUST
Address line 1 - owner
4465 S JONES BLVD
City - owner
LAS VEGAS
State - owner
NV
Zip code - owner
89103
Percentage ownership
24.85
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
O20210310002270
Associate id
4789090028
Organization name
FAIRFAX OPERATOR LLC
Associate id - owner
4587092309
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-10-31
Organization name - owner
MLVA HOLDINGS LLC
Address line 1 - owner
PO BOX 827
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087010827
Percentage ownership
29.6
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
Enrollment id
O20210310002270
Associate id
4789090028
Organization name
FAIRFAX OPERATOR LLC
Associate id - owner
4688002405
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-10-31
Organization name - owner
SAUL 2012 FAMILY GRANTOR TRUST
Address line 1 - owner
500 RIVER AVE
Address line 2 - owner
STE 215
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087014740
Percentage ownership
24.85
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
O20210310002270
Associate id
4789090028
Organization name
FAIRFAX OPERATOR LLC
Associate id - owner
4789012501
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-10-31
Organization name - owner
VIRGINIA CARE HOLCO LLC
Address line 1 - owner
7300 FOREST AVE
City - owner
RICHMOND
State - owner
VA
Zip code - owner
232263735
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
Enrollment id
O20210310002270
Associate id
4789090028
Organization name
FAIRFAX OPERATOR LLC
Associate id - owner
4880779057
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2026-05-12
First name - owner
MARY
Last name - owner
VORPAHL
Enrollment id
O20210310002270
Associate id
4789090028
Organization name
FAIRFAX OPERATOR LLC
Associate id - owner
7214365030
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-10-31
Organization name - owner
ISVA HOLDINGS LLC
Address line 1 - owner
PO BOX 827
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087010827
Percentage ownership
29.6
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
Enrollment id
O20210310002270
Associate id
4789090028
Organization name
FAIRFAX OPERATOR LLC
Associate id - owner
7416352190
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-01-17
First name - owner
MOSHE
Middle name - owner
Y
Last name - owner
RAJCHENBACH
Percentage ownership
100
Enrollment id
O20210310002270
Associate id
4789090028
Organization name
FAIRFAX OPERATOR LLC
Associate id - owner
7416352190
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2026-05-12
First name - owner
MOSHE
Middle name - owner
Y
Last name - owner
RAJCHENBACH
Enrollment id
O20210310002270
Associate id
4789090028
Organization name
FAIRFAX OPERATOR LLC
Associate id - owner
8224466040
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-10-31
Organization name - owner
EDWARD 1998 FAMILY GRANTOR TRUST
Address line 1 - owner
10701 MAIN ST
City - owner
FAIRFAX
State - owner
VA
Zip code - owner
220306904
Percentage ownership
24.85
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
O20210310002270
Associate id
4789090028
Organization name
FAIRFAX OPERATOR LLC
Associate id - owner
9830527555
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-10-31
Organization name - owner
INNOVATIVE HEALTHCARE MANAGEMENT LLC
Address line 1 - owner
200 S 10TH ST
Address line 2 - owner
STE 1600
City - owner
RICHMOND
State - owner
VA
Zip code - owner
232194061
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

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