Public record

CMS Skilled Nursing Facility All Owners

Associate id: 6406265933 · 7 matching records

Enrollment id
O20210512002476
Associate id
6406265933
Organization name
DT VALLEY LLC
Associate id - owner
1153616842
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-04-01
First name - owner
STEVEN
Middle name - owner
B
Last name - owner
HORNUNG
Title - owner
MANAGER
Percentage ownership
50
Enrollment id
O20210512002476
Associate id
6406265933
Organization name
DT VALLEY LLC
Associate id - owner
1153616842
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-04-01
First name - owner
STEVEN
Middle name - owner
B
Last name - owner
HORNUNG
Title - owner
MANAGER
Enrollment id
O20210512002476
Associate id
6406265933
Organization name
DT VALLEY LLC
Associate id - owner
1254626948
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-04-01
Organization name - owner
AZRIA VENTURES LLC
Address line 1 - owner
702 S HIGHWAY 6
City - owner
GRETNA
State - owner
NE
Zip code - owner
680287970
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
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
Enrollment id
O20210512002476
Associate id
6406265933
Organization name
DT VALLEY LLC
Associate id - owner
2961811229
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-04-01
Organization name - owner
DOVETAIL OPCO HOLDINGS LLC
Address line 1 - owner
702 S HIGHWAY 6
City - owner
GRETNA
State - owner
NE
Zip code - owner
680287970
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
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
Enrollment id
O20210512002476
Associate id
6406265933
Organization name
DT VALLEY LLC
Associate id - owner
5092724963
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-04-01
First name - owner
DOUGLAS
Middle name - owner
A
Last name - owner
WILLIAMS
Title - owner
ADMINISTRATOR
Enrollment id
O20210512002476
Associate id
6406265933
Organization name
DT VALLEY LLC
Associate id - owner
7719203785
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-04-01
First name - owner
AARON
Middle name - owner
NOAH
Last name - owner
KAMINER
Title - owner
MANAGER
Percentage ownership
50
Enrollment id
O20210512002476
Associate id
6406265933
Organization name
DT VALLEY LLC
Associate id - owner
7719203785
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-04-01
First name - owner
AARON
Middle name - owner
NOAH
Last name - owner
KAMINER
Title - owner
MANAGER

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list