Public record

CMS Skilled Nursing Facility All Owners

Associate id: 6204115918 · 18 matching records

Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
0547763070
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-12-16
First name - owner
FATE
Last name - owner
ENABULELE
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
0547763070
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-16
First name - owner
FATE
Last name - owner
ENABULELE
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
2163925652
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-07-24
Organization name - owner
LMHCST LLC
Address line 1 - owner
4016 GRAND AVE
Address line 2 - owner
STE A1124
City - owner
CHINO
State - owner
CA
Zip code - owner
917105491
Percentage ownership
23.9
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
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
Y
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
2466644612
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-07-24
First name - owner
RACHEL
Middle name - owner
AHUVA
Last name - owner
COHEN
Percentage ownership
75.34
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
2466644612
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-07-24
First name - owner
RACHEL
Middle name - owner
AHUVA
Last name - owner
COHEN
Title - owner
MANAGER
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
2466644612
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-07-24
First name - owner
RACHEL
Middle name - owner
AHUVA
Last name - owner
COHEN
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
2860764768
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-17
Organization name - owner
RENEW HEALTH CONSULTING SERVICES LLC
Doing business as name - owner
RENEW HEALTH CONSULTING SERVICES
Address line 1 - owner
107 W LEMON AVE
City - owner
MONROVIA
State - owner
CA
Zip code - owner
910162809
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
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
2860764768
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-17
Organization name - owner
RENEW HEALTH CONSULTING SERVICES LLC
Doing business as name - owner
RENEW HEALTH CONSULTING SERVICES
Address line 1 - owner
107 W LEMON AVE
City - owner
MONROVIA
State - owner
CA
Zip code - owner
910162809
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
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
4082127717
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-07-24
First name - owner
JADEN
Last name - owner
RUST
Percentage ownership
0.76
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
6204111537
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-07-24
Organization name - owner
HEALTH CARE PARTNERS I LLC
Address line 1 - owner
107 W LEMON AVE
City - owner
MONROVIA
State - owner
CA
Zip code - owner
910162809
Percentage ownership
76.1
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
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
Y
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
7214397348
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-07-24
First name - owner
PAOLA
Last name - owner
DIONISIO
Percentage ownership
23.9
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
7416993233
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-10-19
First name - owner
JAMES
Middle name - owner
M
Last name - owner
YEH
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
7416993233
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-10-19
First name - owner
JAMES
Middle name - owner
M
Last name - owner
YEH
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
7719488949
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-11-16
First name - owner
EVA
Last name - owner
CHAVARRIA
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
7719488949
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-11-16
First name - owner
EVA
Last name - owner
CHAVARRIA
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
8123101169
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-17
First name - owner
VATSALA
Last name - owner
SHARMA
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
8123101169
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-17
First name - owner
VATSALA
Last name - owner
SHARMA
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
8123534849
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-17
Organization name - owner
GATEWAYS REHABILITATION CENTER II LLC
Address line 1 - owner
2470 STEARNS ST
Address line 2 - owner
NO 173
City - owner
SIMI VALLEY
State - owner
CA
Zip code - owner
930632418
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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