Public record

CMS Skilled Nursing Facility All Owners

Associate id: 7012355878 · 7 matching records

Enrollment id
O20240329002049
Associate id
7012355878
Organization name
OLD SOUTHWEST HEALTH AND REHABILITATION LLC
Associate id - owner
3870963127
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-01
Organization name - owner
YDI IRREVOCABLE TRUST
Address line 1 - owner
59 NUGENT DR
City - owner
CLIFTON
State - owner
NJ
Zip code - owner
070121705
Percentage ownership
100
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
Y
Other type text - owner
TRUST
Enrollment id
O20240329002049
Associate id
7012355878
Organization name
OLD SOUTHWEST HEALTH AND REHABILITATION LLC
Associate id - owner
4284079088
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-01
Organization name - owner
YDI EASTERN HOLDCO LLC
Address line 1 - owner
180 SUMMIT AVE
Address line 2 - owner
STE 204
City - owner
MONTVALE
State - owner
NJ
Zip code - owner
076451722
Percentage ownership
50
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
O20240329002049
Associate id
7012355878
Organization name
OLD SOUTHWEST HEALTH AND REHABILITATION LLC
Associate id - owner
5496142689
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-02-01
First name - owner
AKIVA
Last name - owner
SHAPIRO
Title - owner
COO
Percentage ownership
0
Enrollment id
O20240329002049
Associate id
7012355878
Organization name
OLD SOUTHWEST HEALTH AND REHABILITATION LLC
Associate id - owner
5496142689
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2024-02-01
First name - owner
AKIVA
Last name - owner
SHAPIRO
Enrollment id
O20240329002049
Associate id
7012355878
Organization name
OLD SOUTHWEST HEALTH AND REHABILITATION LLC
Associate id - owner
6002251808
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-01
Organization name - owner
JJ UNITED TR
Address line 1 - owner
59 NUGENT DR
City - owner
CLIFTON
State - owner
NJ
Zip code - owner
070121705
Percentage ownership
50
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
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
Y
Other type text - owner
TRUST
Enrollment id
O20240329002049
Associate id
7012355878
Organization name
OLD SOUTHWEST HEALTH AND REHABILITATION LLC
Associate id - owner
7719324706
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-01
Organization name - owner
VA SNF OPERATIONS HOLDINGS 2 LLC
Address line 1 - owner
180 SUMMIT AVE
Address line 2 - owner
STE 204
City - owner
MONTVALE
State - owner
NJ
Zip code - owner
076451722
Percentage ownership
100
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
O20240329002049
Associate id
7012355878
Organization name
OLD SOUTHWEST HEALTH AND REHABILITATION LLC
Associate id - owner
9931483625
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-02-01
First name - owner
ANDREW
Last name - owner
SHULER
Title - owner
ADMINISTRATOR
Percentage ownership
0

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