Public record

CMS Skilled Nursing Facility All Owners

Associate id: 6608118401 · 22 matching records

Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
0446161152
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-04-01
First name - owner
DOUGLAS
Middle name - owner
B
Last name - owner
BOULWARE
Title - owner
MANAGING MEMBEROF MGMT COMPANY
Percentage ownership
33.34
Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
0446161152
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-04-01
First name - owner
DOUGLAS
Middle name - owner
B
Last name - owner
BOULWARE
Percentage ownership
33.34
Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
0840700290
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-09-19
First name - owner
ASHLEY
Last name - owner
MCKINNEY
Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
1658881099
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-14
Address line 1 - owner
1000 CHINABERRY DR
Address line 2 - owner
STE 200
City - owner
BOSSIER CITY
State - owner
LA
Zip code - owner
711112443
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
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
2466962808
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-04-01
Address line 1 - owner
905 CALLE AMANECER
Address line 2 - owner
STE 300
City - owner
SAN CLEMENTE
State - owner
CA
Zip code - owner
926736277
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
Y
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
2769992114
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-04-01
Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
3476835273
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-04-01
Organization name - owner
PRIORITY MANAGEMENT GROUP, LLC
Address line 1 - owner
1000 CHINABERRY DR
Address line 2 - owner
STE 200
City - owner
BOSSIER CITY
State - owner
LA
Zip code - owner
711112443
Percentage ownership
100
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
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
3476835273
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-14
Organization name - owner
PRIORITY MANAGEMENT GROUP, LLC
Address line 1 - owner
1000 CHINABERRY DR
Address line 2 - owner
STE 200
City - owner
BOSSIER CITY
State - owner
LA
Zip code - owner
711112443
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
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
4385154723
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-04-01
Address line 1 - owner
905 CALLE AMANECER
Address line 2 - owner
STE 300
City - owner
SAN CLEMENTE
State - owner
CA
Zip code - owner
926736277
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
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
5991839813
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-04-01
First name - owner
STEVEN
Middle name - owner
D
Last name - owner
BOULWARE
Title - owner
MANAGING MEMBER OF MANAGEMENT CO
Percentage ownership
33.33
Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
5991839813
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-04-01
First name - owner
STEVEN
Middle name - owner
D
Last name - owner
BOULWARE
Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
5991839813
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-04-01
First name - owner
STEVEN
Middle name - owner
D
Last name - owner
BOULWARE
Percentage ownership
33.33
Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
6002326444
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-16
Address line 1 - owner
1000 CHINABERRY DR
Address line 2 - owner
STE 200
City - owner
BOSSIER CITY
State - owner
LA
Zip code - owner
711112443
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
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
6406120690
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2019-04-01
Organization name - owner
SDB HOLDINGS
Address line 1 - owner
1000 CHINABERRY DR
Address line 2 - owner
STE 200
City - owner
BOSSIER CITY
State - owner
LA
Zip code - owner
711112443
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
N
Owned by another org or ind - owner
Y
Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
7214447663
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-04-01
Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
7618492497
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-04-01
Organization name - owner
PROGRESSIVE REHAB SOLUTIONS, LLC
Address line 1 - owner
127 W BROAD ST
Address line 2 - owner
STE 800
City - owner
LAKE CHARLES
State - owner
LA
Zip code - owner
706014297
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
THERAPY SERVICES
Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
7618492497
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-04-01
Organization name - owner
PROGRESSIVE REHAB SOLUTIONS, LLC
Address line 1 - owner
127 W BROAD ST
Address line 2 - owner
STE 800
City - owner
LAKE CHARLES
State - owner
LA
Zip code - owner
706014297
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
THERAPY SERVICES
Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
7911417357
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-15
Address line 1 - owner
127 W BROAD ST
Address line 2 - owner
STE 800
City - owner
LAKE CHARLES
State - owner
LA
Zip code - owner
706014297
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
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
8022528470
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-04-01
Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
8224015979
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-15
First name - owner
MAIRUS
Middle name - owner
T
Last name - owner
MCFARLAND
Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
8325380538
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-14
First name - owner
KOURTNEY
Last name - owner
BROWNLEE
Enrollment id
O20190426001217
Associate id
6608118401
Organization name
PMG OPCO-WASHINGTON LLC
Associate id - owner
9436335668
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-04-01
First name - owner
WILLIAM
Middle name - owner
M
Last name - owner
BAUDER
Title - owner
MANAGING MEMBER OF MANAGEMENT CO
Percentage ownership
33.33

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