Public record

CMS Skilled Nursing Facility All Owners

Associate id: 5698090678 · 26 matching records

Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
0345157285
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2014-06-25
First name - owner
FORREST
Middle name - owner
L
Last name - owner
PRESTON
Percentage ownership
100
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
0345157285
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-06-25
First name - owner
FORREST
Middle name - owner
L
Last name - owner
PRESTON
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
0345157285
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-10-31
First name - owner
FORREST
Middle name - owner
L
Last name - owner
PRESTON
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
0345157285
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2014-06-25
First name - owner
FORREST
Middle name - owner
L
Last name - owner
PRESTON
Percentage ownership
100
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
0345260964
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-11-10
First name - owner
TERRY
Last name - owner
HENRY
Title - owner
ASSISTANT TREASURER OF MGMT. CO.
Percentage ownership
0
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
1153836077
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-10-31
Address line 1 - owner
3570 KEITH ST NW
City - owner
CLEVELAND
State - owner
TN
Zip code - owner
373124309
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
Y
Other type text - owner
REAL PROPERTY OWNER / LESSOR
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
1850806779
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-02-01
First name - owner
LILLY
Last name - owner
HAVENER
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
1850806779
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-02-01
First name - owner
LILLY
Last name - owner
HAVENER
Title - owner
DIRECTOR OF NURSING
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
2163411588
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-05-01
First name - owner
TODD
Last name - owner
FLETCHER
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
2860587680
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-11-27
First name - owner
AUBREY
Last name - owner
PRESTON
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
3274705918
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-04-09
First name - owner
AMBER
Last name - owner
EKLUND
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
3274705918
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-04-09
First name - owner
AMBER
Last name - owner
EKLUND
Title - owner
DIVISION VICE PRESIDENT
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
3870536402
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-03-01
First name - owner
SHYAM
Middle name - owner
K
Last name - owner
AKKULUGARI
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
3870536402
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-07
First name - owner
SHYAM
Middle name - owner
K
Last name - owner
AKKULUGARI
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
3971018896
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-11
Address line 1 - owner
3570 KEITH ST NW
City - owner
CLEVELAND
State - owner
TN
Zip code - owner
373124309
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
Y
Other type text - owner
SUB-LESSOR
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
4789592056
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-11-10
First name - owner
JOAN
Middle name - owner
E
Last name - owner
THURMOND
Title - owner
ASSIST. SECRETARY OF MGMT. COMPANY
Percentage ownership
0
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
4880501725
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-11-10
First name - owner
CINDY
Middle name - owner
S
Last name - owner
CROSS
Title - owner
VP / ASSIST. SECRETARY OF MGMT. CO
Percentage ownership
0
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
6406923143
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-01-01
First name - owner
RICHARD
Last name - owner
SWANKER
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
6608783543
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2014-06-25
Organization name - owner
LIFE CARE CENTERS OF AMERICA, INC.
Doing business as name - owner
LIFE CARE CENTER OF WESTLAKE
Address line 1 - owner
3570 KEITH ST NW
City - owner
CLEVELAND
State - owner
TN
Zip code - owner
373124309
Percentage ownership
100
Created for acquisition - owner
N
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
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
Y
Other type text - owner
CORP MGR OF PROVIDER & OF RE OWNER
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
6608783543
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-06-25
Organization name - owner
LIFE CARE CENTERS OF AMERICA, INC.
Doing business as name - owner
LIFE CARE CENTER OF WESTLAKE
Address line 1 - owner
3570 KEITH ST NW
City - owner
CLEVELAND
State - owner
TN
Zip code - owner
373124309
Percentage ownership
100
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
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
Y
Other type text - owner
CORP MGR OF PROVIDER & OF RE OWNER
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
6608783543
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-10-31
Organization name - owner
LIFE CARE CENTERS OF AMERICA, INC.
Doing business as name - owner
LIFE CARE CENTER OF WESTLAKE
Address line 1 - owner
3570 KEITH ST NW
City - owner
CLEVELAND
State - owner
TN
Zip code - owner
373124309
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
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
Y
Other type text - owner
CORP MGR OF PROVIDER & OF RE OWNER
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
8325477938
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-04-24
First name - owner
LISA
Middle name - owner
M
Last name - owner
LAY
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
8729110903
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
1987-11-18
First name - owner
DEBRA
Last name - owner
BIEHL
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
8729110903
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
1987-11-18
First name - owner
DEBRA
Last name - owner
BIEHL
Title - owner
ADMINISTRATOR
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
8729110903
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-07
First name - owner
DEBRA
Last name - owner
BIEHL
Enrollment id
O20150216000508
Associate id
5698090678
Organization name
OVERLAND PARK MEDICAL INVESTORS LLC
Associate id - owner
8921032210
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-06-25
First name - owner
JAMES
Last name - owner
ZIEGLER

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