Public record

CMS Skilled Nursing Facility All Owners

Associate id: 5698956613 · 41 matching records

Enrollment id
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
0648188227
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
First name - owner
RAYMOND
Middle name - owner
GREGG
Last name - owner
HILL
Title - owner
BOARD MEMBER
Percentage ownership
18
Enrollment id
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
0648188227
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-01-01
First name - owner
RAYMOND
Middle name - owner
GREGG
Last name - owner
HILL
Title - owner
BOARD MEMBER
Enrollment id
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
1557279130
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
First name - owner
ROBERT
Middle name - owner
O'NEIL
Last name - owner
HILL
Title - owner
BOARD MEMBER
Percentage ownership
21
Enrollment id
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
1557279130
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-01-01
First name - owner
ROBERT
Middle name - owner
O'NEIL
Last name - owner
HILL
Title - owner
BOARD MEMBER
Enrollment id
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
2466360045
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
First name - owner
STEPHEN
Middle name - owner
BRITT
Last name - owner
HILL
Percentage ownership
20
Enrollment id
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
2466360045
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-01-01
First name - owner
STEPHEN
Middle name - owner
BRITT
Last name - owner
HILL
Title - owner
BOARD MEMBER
Enrollment id
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
2860737442
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-03-05
First name - owner
GALE
Middle name - owner
R
Last name - owner
BOICE
Title - owner
CFO
Enrollment id
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
3274714464
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2011-01-01
First name - owner
DIANNE
Last name - owner
JOHNSON
Enrollment id
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
4688991367
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-11-07
First name - owner
LYNN
Middle name - owner
WEATHERINGTON
Last name - owner
BULLOCK
Title - owner
ADMINISTRATOR
Enrollment id
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
4688991367
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-10
First name - owner
LYNN
Middle name - owner
WEATHERINGTON
Last name - owner
BULLOCK
Enrollment id
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
5193906386
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
Organization name - owner
PRINCIPLE LONG TERM CARE, INC.
Address line 1 - owner
1435 HIGHWAY 258N
City - owner
KINSTON
State - owner
NC
Zip code - owner
285047208
Percentage ownership
50
Created for acquisition - owner
N
Corporation - owner
N
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
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
5193906386
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-01-01
Organization name - owner
PRINCIPLE LONG TERM CARE, INC.
Address line 1 - owner
1435 HIGHWAY 258N
City - owner
KINSTON
State - owner
NC
Zip code - owner
285047208
Corporation - owner
N
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
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
5193906386
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-10
Organization name - owner
PRINCIPLE LONG TERM CARE, INC.
Address line 1 - owner
1435 HIGHWAY 258N
City - owner
KINSTON
State - owner
NC
Zip code - owner
285047208
Corporation - owner
N
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
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
7810178001
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
Organization name - owner
PRINCIPLE IT SERVICES, INC.
Address line 1 - owner
1435 HIGHWAY 258N
City - owner
KINSTON
State - owner
NC
Zip code - owner
285047208
Percentage ownership
50
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
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
O20110420000354
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
0648188227
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
First name - owner
RAYMOND
Middle name - owner
GREGG
Last name - owner
HILL
Title - owner
OWNER/BOARD MEMBER
Percentage ownership
18.47
Enrollment id
O20110420000354
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
0648188227
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2011-01-01
First name - owner
RAYMOND
Middle name - owner
GREGG
Last name - owner
HILL
Enrollment id
O20110420000354
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
0941257984
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-02
First name - owner
JOHN
Middle name - owner
STEVEN
Last name - owner
CORDER
Enrollment id
O20110420000354
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
1557279130
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
First name - owner
ROBERT
Middle name - owner
O'NEIL
Last name - owner
HILL
Title - owner
OWNER/BOARD MEMBER
Percentage ownership
20.6
Enrollment id
O20110420000354
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
1557279130
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2011-01-01
First name - owner
ROBERT
Middle name - owner
O'NEIL
Last name - owner
HILL
Enrollment id
O20110420000354
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
2466360045
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
First name - owner
STEPHEN
Middle name - owner
BRITT
Last name - owner
HILL
Title - owner
OWNER/BOARD MEMBER
Percentage ownership
20.02
Enrollment id
O20110420000354
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
2466360045
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2011-01-01
First name - owner
STEPHEN
Middle name - owner
BRITT
Last name - owner
HILL
Enrollment id
O20110420000354
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
2860737442
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-03-05
First name - owner
GALE
Middle name - owner
R
Last name - owner
BOICE
Title - owner
CFO
Enrollment id
O20110420000354
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
2860737442
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-03-05
First name - owner
GALE
Middle name - owner
R
Last name - owner
BOICE
Enrollment id
O20110420000354
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
3274714464
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2011-01-01
First name - owner
DIANNE
Last name - owner
JOHNSON
Title - owner
TREASURER
Enrollment id
O20110420000354
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
5193906386
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
Organization name - owner
PRINCIPLE LONG TERM CARE, INC.
Address line 1 - owner
1435 HIGHWAY 258 N
City - owner
KINSTON
State - owner
NC
Zip code - owner
285047208
Percentage ownership
50
Created for acquisition - owner
N
Corporation - owner
N
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
N
Parent company - owner
Y
Owned by another org or ind - owner
N
Enrollment id
O20110420000354
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
5193906386
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-01-01
Organization name - owner
PRINCIPLE LONG TERM CARE, INC.
Address line 1 - owner
1435 HIGHWAY 258 N
City - owner
KINSTON
State - owner
NC
Zip code - owner
285047208
Corporation - owner
N
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
N
Enrollment id
O20110420000354
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
6103000450
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-01-01
First name - owner
ROGER
Last name - owner
HILL
Enrollment id
O20110420000354
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
6103000450
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-02
First name - owner
ROGER
Last name - owner
HILL
Enrollment id
O20110420000354
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
7810178001
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
Organization name - owner
PRINCIPLE IT SERVICES, INC.
Address line 1 - owner
1435 HIGHWAY 258 N
City - owner
KINSTON
State - owner
NC
Zip code - owner
285047208
Percentage ownership
50
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
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
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20110502000304
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
0042402265
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-01-01
First name - owner
VALARMATHI
Last name - owner
SUNDAR
Enrollment id
O20110502000304
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
0042402265
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-06-11
First name - owner
VALARMATHI
Last name - owner
SUNDAR
Enrollment id
O20110502000304
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
0648188227
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
First name - owner
RAYMOND
Middle name - owner
GREGG
Last name - owner
HILL
Percentage ownership
18
Enrollment id
O20110502000304
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
0648283689
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-01-01
First name - owner
NANCY
Middle name - owner
W
Last name - owner
HUGHES
Title - owner
ADMINISTRATOR
Percentage ownership
0
Enrollment id
O20110502000304
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
0648283689
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-14
First name - owner
NANCY
Middle name - owner
W
Last name - owner
HUGHES
Enrollment id
O20110502000304
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
1557279130
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
First name - owner
ROBERT
Middle name - owner
O'NEIL
Last name - owner
HILL
Percentage ownership
21
Enrollment id
O20110502000304
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
2466360045
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
First name - owner
STEPHEN
Middle name - owner
BRITT
Last name - owner
HILL
Title - owner
OWNER
Percentage ownership
20
Enrollment id
O20110502000304
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
2860737442
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-03-05
First name - owner
GALE
Middle name - owner
R
Last name - owner
BOICE
Title - owner
CFO
Enrollment id
O20110502000304
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
3274714464
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-01-01
First name - owner
DIANNE
Last name - owner
JOHNSON
Enrollment id
O20110502000304
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
5193906386
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
Organization name - owner
PRINCIPLE LONG TERM CARE, INC.
Address line 1 - owner
1435 HWY 258 N
City - owner
KINSTON
State - owner
NC
Zip code - owner
285047208
Percentage ownership
50
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
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
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20110502000304
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
5193906386
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-01-01
Organization name - owner
PRINCIPLE LONG TERM CARE, INC.
Address line 1 - owner
1435 HWY 258 N
City - owner
KINSTON
State - owner
NC
Zip code - owner
285047208
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
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
O20110502000304
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
7810178001
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
Organization name - owner
PRINCIPLE IT SERVICES, INC.
Address line 1 - owner
1435 HWY 258 N
City - owner
KINSTON
State - owner
NC
Zip code - owner
285047208
Percentage ownership
50
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
N

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