Public record

CMS Skilled Nursing Facility All Owners

Associate id: 7113173212 · 19 matching records

Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
2264528611
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-10-31
First name - owner
AGNES
Last name - owner
ALEJANDRE
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
2365933892
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-11-02
First name - owner
MARLENIS
Last name - owner
BENCOMO
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
2860982246
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-10-31
Organization name - owner
HEALTH RESORT MANAGEMENT LLC
Address line 1 - owner
955 NW 3RD ST
City - owner
MIAMI
State - owner
FL
Zip code - owner
33128
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
Y
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
3274024708
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-03-01
First name - owner
LOURDES
Last name - owner
LOPEZ
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
4183115611
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-06
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
4981790334
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2012-03-29
First name - owner
RICHARD
Last name - owner
STACEY SR
Title - owner
OWNER / CEO
Percentage ownership
100
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
4981790334
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2012-03-29
First name - owner
RICHARD
Last name - owner
STACEY SR
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
5092206524
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-06
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
6406346881
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-03-01
First name - owner
ANGELA
Last name - owner
SUCCOP
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
6406346881
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-03-01
First name - owner
ANGELA
Last name - owner
SUCCOP
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
6901397439
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-01
First name - owner
ELIZABETH
Last name - owner
STACEY
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
7113173212
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2012-03-29
Organization name - owner
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Address line 1 - owner
899 NW 4TH STREET
City - owner
MIAMI
State - owner
FL
Zip code - owner
331281309
Percentage ownership
100
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
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
N
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
7214427699
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-03-01
First name - owner
FRANK
Last name - owner
LOPRESTI
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
7214427699
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-03-01
First name - owner
FRANK
Last name - owner
LOPRESTI
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
7416866603
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-11-01
Organization name - owner
FORVIS MAZARS LLP
Doing business as name - owner
FORVIS MAZARS, LLP
Address line 1 - owner
910 E SAINT LOUIS ST
City - owner
SPRINGFIELD
State - owner
MO
Zip code - owner
658062580
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
Y
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
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
7416866603
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-08-06
Organization name - owner
FORVIS MAZARS LLP
Doing business as name - owner
FORVIS MAZARS, LLP
Address line 1 - owner
910 E SAINT LOUIS ST
City - owner
SPRINGFIELD
State - owner
MO
Zip code - owner
658062580
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
Y
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
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
7719478247
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-10-31
First name - owner
ANGELINA
Last name - owner
GOLD
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
8628569159
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-09-29
First name - owner
MAGDA
Last name - owner
SOLORZANO
Enrollment id
O20120806000380
Associate id
7113173212
Organization name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Associate id - owner
9537650064
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-03-01
First name - owner
ADRIAN
Last name - owner
LIVA

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