Public record

CMS Skilled Nursing Facility All Owners

Associate id: 6406038207 · 25 matching records

Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
0446164644
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
1989-10-12
Organization name - owner
SUN MAR MANAGEMENT SERVICES
Doing business as name - owner
SUN MAR HEALTHCARE
Address line 1 - owner
3050 SATURN ST
Address line 2 - owner
STE 201
City - owner
BREA
State - owner
CA
Zip code - owner
928216278
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
Y
Other type text - owner
ADMINISTRATIVE SERVICES CO.
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
0749709814
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-04-01
First name - owner
CHANNON
Last name - owner
BALANAY
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
0749709814
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-04-01
First name - owner
CHANNON
Last name - owner
BALANAY
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
1557449527
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-02-01
First name - owner
FARIBORZ
Last name - owner
SHAMS
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
1557449527
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-02-01
First name - owner
FARIBORZ
Last name - owner
SHAMS
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
3072015320
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-10-01
Address line 1 - owner
8855 WASHINGTON BLVD
City - owner
CULVER CITY
State - owner
CA
Zip code - owner
902322323
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
Y
Other type text - owner
REAL ESTATE OWNER
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
3678654977
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2003-02-06
First name - owner
DAVID
Middle name - owner
A
Last name - owner
JOHNSON
Percentage ownership
16.67
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
3678654977
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2003-02-06
First name - owner
DAVID
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
MANAGER
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
3779620521
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-01-03
First name - owner
MICHEAL
Middle name - owner
D
Last name - owner
OXFORD
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
3779620521
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-01-03
First name - owner
MICHEAL
Middle name - owner
D
Last name - owner
OXFORD
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
4082521745
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2003-02-06
First name - owner
FRANK
Middle name - owner
A
Last name - owner
JOHNSON
Percentage ownership
50.01
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
4082521745
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2003-02-06
First name - owner
FRANK
Middle name - owner
A
Last name - owner
JOHNSON
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
4082521745
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2003-02-06
First name - owner
FRANK
Middle name - owner
A
Last name - owner
JOHNSON
Title - owner
MANAGER
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
4082521745
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-02-06
First name - owner
FRANK
Middle name - owner
A
Last name - owner
JOHNSON
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
5890213847
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-04-01
First name - owner
JOSHUA
Last name - owner
KOCHEK
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
5890213847
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-04-01
First name - owner
JOSHUA
Last name - owner
KOCHEK
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
5991612657
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2003-02-06
First name - owner
ELI
Last name - owner
MARMUR
Percentage ownership
33.33
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
6103907142
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-06-01
First name - owner
ADRIAN
Last name - owner
DEHGHANMANESH
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
6103907142
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-06-01
First name - owner
ADRIAN
Last name - owner
DEHGHANMANESH
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
6406038207
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1995-11-08
Organization name - owner
ANAHEIM HEALTHCARE CENTER LLC
Address line 1 - owner
3050 SATURN ST
Address line 2 - owner
STE 201
City - owner
BREA
State - owner
CA
Zip code - owner
928216278
Percentage ownership
100
Created for acquisition - owner
Y
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
Y
Other type text - owner
SNF PROVIDER
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
6406038207
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
1996-06-18
Organization name - owner
ANAHEIM HEALTHCARE CENTER LLC
Address line 1 - owner
3050 SATURN ST
Address line 2 - owner
STE 201
City - owner
BREA
State - owner
CA
Zip code - owner
928216278
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
Y
Other type text - owner
SNF PROVIDER
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
6406038207
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
1996-06-18
Organization name - owner
ANAHEIM HEALTHCARE CENTER LLC
Address line 1 - owner
3050 SATURN ST
Address line 2 - owner
STE 201
City - owner
BREA
State - owner
CA
Zip code - owner
928216278
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
Y
Other type text - owner
SNF PROVIDER
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
7517485576
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-01
First name - owner
MARY
Last name - owner
FARRALES
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
8224527056
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-10-24
First name - owner
ELENA
Last name - owner
QUIJANO
Enrollment id
O20110316000221
Associate id
6406038207
Organization name
ANAHEIM HEALTHCARE CENTER LLC
Associate id - owner
8426229584
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-09-01
Organization name - owner
CIBC BANK USA
Doing business as name - owner
PRIVATE BANK
Address line 1 - owner
120 SOUTH LASELLE STREET
City - owner
CHICAGO
State - owner
IL
Zip code - owner
606033403
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
Y
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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