Public record

CMS Skilled Nursing Facility All Owners

Associate id: 6305124561 · 4 matching records

Enrollment id
O20161024001462
Associate id
6305124561
Organization name
THE WATERS OF SHELBYVILLE, LLC
Associate id - owner
0345542114
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-08-01
Organization name - owner
GUBIN ENTERPRISES LIMITED PARTNERSHIP
Address line 1 - owner
1230 RIDGEDALE RD
City - owner
SOUTH BEND
State - owner
IN
Zip code - owner
466142108
Percentage ownership
40
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
N
Other type - owner
Y
Other type text - owner
LIMITED PARTNERSHIP
Enrollment id
O20161024001462
Associate id
6305124561
Organization name
THE WATERS OF SHELBYVILLE, LLC
Associate id - owner
1951334226
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-08-01
Organization name - owner
A&F REALTY LLC
Address line 1 - owner
2722 W TUCKER DR
City - owner
SOUTH BEND
State - owner
IN
Zip code - owner
466194222
Percentage ownership
20
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
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
O20161024001462
Associate id
6305124561
Organization name
THE WATERS OF SHELBYVILLE, LLC
Associate id - owner
3577476589
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-08-01
First name - owner
MICHAEL
Last name - owner
BLISKO
Percentage ownership
40
Enrollment id
O20161024001462
Associate id
6305124561
Organization name
THE WATERS OF SHELBYVILLE, LLC
Associate id - owner
6507776325
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-05-16
First name - owner
THOMAS
Middle name - owner
T
Last name - owner
TACKETT
Title - owner
ADMINISTRATOR
Percentage ownership
0

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