Public record

CMS Skilled Nursing Facility All Owners

Associate id: 6901988203 · 20 matching records

Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
2264433903
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
LAURA
Last name - owner
ISSEROW
Percentage ownership
8
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
2264433903
Type - owner
I
Role code - owner
39
Role text - owner
LIMITED PARTNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
LAURA
Last name - owner
ISSEROW
Title - owner
MEMBER
Percentage ownership
8
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
4082615620
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
JOSEPH
Last name - owner
CARILLO
Percentage ownership
8
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
4082615620
Type - owner
I
Role code - owner
39
Role text - owner
LIMITED PARTNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
JOSEPH
Last name - owner
CARILLO
Title - owner
MEMBER
Percentage ownership
8
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
4082615729
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
VINCENT
Last name - owner
CARILLO
Percentage ownership
16.67
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
4082615729
Type - owner
I
Role code - owner
39
Role text - owner
LIMITED PARTNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
VINCENT
Last name - owner
CARILLO
Title - owner
MEMBER
Percentage ownership
16.67
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
4082666128
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
LISA
Middle name - owner
M
Last name - owner
BANGER
Percentage ownership
11.11
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
4082666128
Type - owner
I
Role code - owner
39
Role text - owner
LIMITED PARTNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
LISA
Middle name - owner
M
Last name - owner
BANGER
Title - owner
MEMBER
Percentage ownership
11.11
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
5092619759
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
JOSEPH
Last name - owner
CARILLO
Percentage ownership
11.12
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
5092619759
Type - owner
I
Role code - owner
39
Role text - owner
LIMITED PARTNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
JOSEPH
Last name - owner
CARILLO
Title - owner
MEMBER
Percentage ownership
11.12
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
5092619759
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2012-12-05
First name - owner
JOSEPH
Last name - owner
CARILLO
Title - owner
MEMBER
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
5799875712
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2012-12-05
First name - owner
ANTHONY
Last name - owner
DEROSA
Title - owner
CFO
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
5799875712
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-12-05
First name - owner
ANTHONY
Last name - owner
DEROSA
Title - owner
CFO
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
7719988450
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
CHRISTOPHER
Middle name - owner
J
Last name - owner
CARILLO
Percentage ownership
16.66
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
7719988450
Type - owner
I
Role code - owner
39
Role text - owner
LIMITED PARTNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
CHRISTOPHER
Middle name - owner
J
Last name - owner
CARILLO
Title - owner
MEMBER
Percentage ownership
16.66
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
8628020765
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
ROBERT
Middle name - owner
G
Last name - owner
CARILLO
Percentage ownership
11.11
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
8628020765
Type - owner
I
Role code - owner
39
Role text - owner
LIMITED PARTNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
ROBERT
Middle name - owner
G
Last name - owner
CARILLO
Title - owner
MEMBER
Percentage ownership
11.11
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
8628079365
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
BEATRICE
Last name - owner
CARILLO
Percentage ownership
17.33
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
8628079365
Type - owner
I
Role code - owner
39
Role text - owner
LIMITED PARTNERSHIP INTEREST
Association date - owner
2012-12-05
First name - owner
BEATRICE
Last name - owner
CARILLO
Title - owner
MEMBER
Percentage ownership
17.33
Enrollment id
O20080125000124
Associate id
6901988203
Organization name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Associate id - owner
8628079365
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2012-12-05
First name - owner
BEATRICE
Last name - owner
CARILLO
Title - owner
MEMBER
Percentage ownership
17.33

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