Public record

CMS Skilled Nursing Facility All Owners

Associate id: 5294835872 · 21 matching records

Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
0143723981
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-03-08
First name - owner
ANDREW
Last name - owner
RAPP
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
0143723981
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-03-08
First name - owner
ANDREW
Last name - owner
RAPP
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
0345720306
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-02-27
First name - owner
DAVID
Last name - owner
BAKE
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
0345720306
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-02-27
First name - owner
DAVID
Last name - owner
BAKE
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
1456544873
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2010-04-01
Organization name - owner
REGENCY PACIFIC MANAGEMENT LLC
Doing business as name - owner
REGENCY PACIFIC
Address line 1 - owner
3326 160TH AVE SE STE 120
City - owner
BELLEVUE
State - owner
WA
Zip code - owner
980086418
Percentage ownership
100
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
Y
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
1456544873
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-08-26
Organization name - owner
REGENCY PACIFIC MANAGEMENT LLC
Doing business as name - owner
REGENCY PACIFIC
Address line 1 - owner
3326 160TH AVE SE STE 120
City - owner
BELLEVUE
State - owner
WA
Zip code - owner
980086418
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
Y
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
3375023336
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2007-07-01
Organization name - owner
CBDS HERMISTON PROPERTIES LLC
Address line 1 - owner
3326 160TH AVE SE
Address line 2 - owner
STE 120
City - owner
BELLEVUE
State - owner
WA
Zip code - owner
980086418
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
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
4284114240
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-09
Address line 1 - owner
7080 SW FIR LOOP
Address line 2 - owner
STE 100
City - owner
PORTLAND
State - owner
OR
Zip code - owner
972238149
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
Y
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
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
4284786096
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-11-01
Organization name - owner
TIETON VILLAGE DRUG INC.
Doing business as name - owner
VILLAGE PHARMACY SERVICES
Address line 1 - owner
10410 E 9TH AVE
City - owner
SPOKANE VALLEY
State - owner
WA
Zip code - owner
992063510
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
Y
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
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
4688658503
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2026-02-01
First name - owner
YOLANDA
Middle name - owner
B
Last name - owner
SUAREZ
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
4688658503
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-02-01
First name - owner
YOLANDA
Middle name - owner
B
Last name - owner
SUAREZ
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
5193205151
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-09
Address line 1 - owner
7080 SW FIR LOOP
Address line 2 - owner
STE 100
City - owner
PORTLAND
State - owner
OR
Zip code - owner
972238149
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
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
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
5294643508
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2007-03-14
First name - owner
JAMES
Middle name - owner
LEE
Last name - owner
CLAY
Percentage ownership
33.33
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
5294643508
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2007-03-14
First name - owner
JAMES
Middle name - owner
LEE
Last name - owner
CLAY
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
6709983760
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2007-03-14
First name - owner
DAVID
Middle name - owner
P
Last name - owner
STROUD
Percentage ownership
33.33
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
6709983760
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2007-03-14
First name - owner
DAVID
Middle name - owner
P
Last name - owner
STROUD
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
7618880469
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2007-03-14
First name - owner
MARVIN
Middle name - owner
B
Last name - owner
BEDDOE
Title - owner
CEO
Percentage ownership
33.33
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
7618880469
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2007-03-14
First name - owner
MARVIN
Middle name - owner
B
Last name - owner
BEDDOE
Title - owner
CEO
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
7618880469
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2007-03-14
First name - owner
MARVIN
Middle name - owner
B
Last name - owner
BEDDOE
Title - owner
CEO OF REGENCY PACIFIC MANAGEMEN
Percentage ownership
99
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
7618880469
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2007-03-14
First name - owner
MARVIN
Middle name - owner
B
Last name - owner
BEDDOE
Title - owner
CEO
Enrollment id
O20070711000740
Associate id
5294835872
Organization name
REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC
Associate id - owner
7618880469
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2007-04-23
First name - owner
MARVIN
Middle name - owner
B
Last name - owner
BEDDOE

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