Public record

CMS Skilled Nursing Facility All Owners

Associate id: 6800151283 · 12 matching records

Enrollment id
O20180606001480
Associate id
6800151283
Organization name
COLUMBIA TN SNF LLC
Associate id - owner
1456607332
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-05-01
First name - owner
CRYSTAL
Last name - owner
HARBOUR
Title - owner
DIRECTOR OF NURSING
Enrollment id
O20180606001480
Associate id
6800151283
Organization name
COLUMBIA TN SNF LLC
Associate id - owner
2466708342
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-05-01
First name - owner
MATTISYAHU
Last name - owner
NUSSBAUM
Percentage ownership
36.06
Enrollment id
O20180606001480
Associate id
6800151283
Organization name
COLUMBIA TN SNF LLC
Associate id - owner
2466708342
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-05-01
First name - owner
MATTISYAHU
Last name - owner
NUSSBAUM
Title - owner
MANAGER
Enrollment id
O20180606001480
Associate id
6800151283
Organization name
COLUMBIA TN SNF LLC
Associate id - owner
4284980160
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-05-01
First name - owner
AVI
Last name - owner
SCHERMAN
Percentage ownership
21.4
Enrollment id
O20180606001480
Associate id
6800151283
Organization name
COLUMBIA TN SNF LLC
Associate id - owner
5395091268
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-05-01
Organization name - owner
COLUMBIA TN HOLDINGS LLC
Address line 1 - owner
580 5TH AVE
Address line 2 - owner
STE 1125
City - owner
NEW YORK
State - owner
NY
Zip code - owner
100364727
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
O20180606001480
Associate id
6800151283
Organization name
COLUMBIA TN SNF LLC
Associate id - owner
5799961363
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-05-01
First name - owner
JEROME
Last name - owner
WEINSTOCK
Percentage ownership
34.72
Enrollment id
O20180606001480
Associate id
6800151283
Organization name
COLUMBIA TN SNF LLC
Associate id - owner
5799961363
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-05-01
First name - owner
JEROME
Last name - owner
WEINSTOCK
Title - owner
MANAGER
Enrollment id
O20180606001480
Associate id
6800151283
Organization name
COLUMBIA TN SNF LLC
Associate id - owner
5991051625
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-05-01
Organization name - owner
GOLD RIVER HOLDINGS, LLC
Address line 1 - owner
19 ADAMS ST
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087012302
Percentage ownership
23.6
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
O20180606001480
Associate id
6800151283
Organization name
COLUMBIA TN SNF LLC
Associate id - owner
6002828514
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-05-01
First name - owner
SHIMON
Last name - owner
LEFKOWITZ
Percentage ownership
7.32
Enrollment id
O20180606001480
Associate id
6800151283
Organization name
COLUMBIA TN SNF LLC
Associate id - owner
7012263999
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-05-01
Organization name - owner
SCHERM ESTATE LLC
Address line 1 - owner
1089 SOMERSET AVE
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
08701
Percentage ownership
21.4
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
O20180606001480
Associate id
6800151283
Organization name
COLUMBIA TN SNF LLC
Associate id - owner
8426229584
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2018-05-01
Organization name - owner
CIBC BANK USA
Doing business as name - owner
PRIVATE BANK
Address line 1 - owner
1200 S LASALLE
City - owner
CHICAGO
State - owner
IL
Zip code - owner
60603
Created for acquisition - owner
N
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
Enrollment id
O20180606001480
Associate id
6800151283
Organization name
COLUMBIA TN SNF LLC
Associate id - owner
9638397318
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-05-01
First name - owner
COURTNEY
Middle name - owner
L
Last name - owner
KING
Title - owner
ADMINISTRATOR

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