Public record

CMS Skilled Nursing Facility All Owners

Associate id: 6103338280 · 15 matching records

Enrollment id
O20250624003450
Associate id
6103338280
Organization name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Associate id - owner
1557792165
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-04-01
Organization name - owner
RCG INC
Address line 1 - owner
1869 CRAIG PARK CT
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631464122
Percentage ownership
0.01
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
Y
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
O20250624003450
Associate id
6103338280
Organization name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Associate id - owner
1658762539
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-01
Organization name - owner
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST
Address line 1 - owner
26 ALLEGRO LAKE ESTATES DR
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631417857
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
Y
Other type - owner
N
Enrollment id
O20250624003450
Associate id
6103338280
Organization name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Associate id - owner
1658762539
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-04-01
Organization name - owner
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST
Address line 1 - owner
26 ALLEGRO LAKE ESTATES DR
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631417857
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20250624003450
Associate id
6103338280
Organization name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Associate id - owner
1951309095
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-04-01
First name - owner
RICHARD
Middle name - owner
J
Last name - owner
DESTEFANE
Enrollment id
O20250624003450
Associate id
6103338280
Organization name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Associate id - owner
1951309095
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-01
First name - owner
RICHARD
Middle name - owner
J
Last name - owner
DESTEFANE
Enrollment id
O20250624003450
Associate id
6103338280
Organization name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Associate id - owner
1951309095
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-04-01
First name - owner
RICHARD
Middle name - owner
J
Last name - owner
DESTEFANE
Percentage ownership
100
Enrollment id
O20250624003450
Associate id
6103338280
Organization name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Associate id - owner
2668984758
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-04-01
First name - owner
KATINA
Last name - owner
MAGNUSSEN
Enrollment id
O20250624003450
Associate id
6103338280
Organization name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Associate id - owner
2668984758
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-01
First name - owner
KATINA
Last name - owner
MAGNUSSEN
Enrollment id
O20250624003450
Associate id
6103338280
Organization name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Associate id - owner
4688749625
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2025-04-01
Organization name - owner
RELIANT CARE GROUP LLC
Address line 1 - owner
1869 CRAIG PARK CT
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631464122
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
Y
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
Y
Owned by another org or ind - owner
Y
Enrollment id
O20250624003450
Associate id
6103338280
Organization name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Associate id - owner
4981138849
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-01
Organization name - owner
TLG II LLP
Address line 1 - owner
1869 CRAIG PARK CT
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631464122
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
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
LIMITED LIABILITY PARTNERSHIP
Enrollment id
O20250624003450
Associate id
6103338280
Organization name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Associate id - owner
5092951160
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-04-01
Organization name - owner
RELIANT CARE MANAGEMENT COMPANY LLC
Address line 1 - owner
1869 CRAIG PARK CT
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631464122
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
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
O20250624003450
Associate id
6103338280
Organization name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Associate id - owner
5092951160
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-21
Organization name - owner
RELIANT CARE MANAGEMENT COMPANY LLC
Address line 1 - owner
1869 CRAIG PARK CT
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631464122
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
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
O20250624003450
Associate id
6103338280
Organization name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Associate id - owner
6204928328
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-04-01
First name - owner
ABDULLAH
Last name - owner
ARSHAD
Enrollment id
O20250624003450
Associate id
6103338280
Organization name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Associate id - owner
6204928328
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-01
First name - owner
ABDULLAH
Last name - owner
ARSHAD
Enrollment id
O20250624003450
Associate id
6103338280
Organization name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Associate id - owner
6406368588
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-01
Organization name - owner
SOUTH COUNTY ASSOCIATES I, L.L.C.
Address line 1 - owner
1869 CRAIG PARK CT
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631464122
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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