Public record

CMS Skilled Nursing Facility All Owners

Associate id: 7214160043 · 16 matching records

Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
0840372637
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-12-28
First name - owner
ATIQUE
Last name - owner
AHMAD
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
0840372637
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2016-12-28
First name - owner
ATIQUE
Last name - owner
AHMAD
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
0840372637
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-12-28
First name - owner
ATIQUE
Last name - owner
AHMAD
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
1658508171
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-03-01
First name - owner
BRETT
Last name - owner
WATSON
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
1658508171
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2017-03-01
First name - owner
BRETT
Last name - owner
WATSON
Title - owner
ADMINISTRATOR
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
1658508171
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2017-03-01
First name - owner
BRETT
Last name - owner
WATSON
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
2062695216
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
STEVE
Middle name - owner
M
Last name - owner
ROSS
Title - owner
PRESIDENT WILDWOOD HEALTHCARE, INC.
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
2466690060
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2014-02-25
Organization name - owner
PENNANT HEALTHCARE LLC
Address line 1 - owner
27101 PUERTA REAL
Address line 2 - owner
SUITE 450
City - owner
MISSION VIEJO
State - owner
CA
Zip code - owner
926918566
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
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
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
3476460494
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2006-01-30
Organization name - owner
THE ENSIGN GROUP INC
Address line 1 - owner
17101 PUERTA REAL
Address line 2 - owner
SUITE 450
City - owner
MISSION VIEJO
State - owner
CA
Zip code - owner
926918566
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
Y
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
3577089093
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-06-01
Organization name - owner
ENSIGN SERVICES INC
Address line 1 - owner
29222 RANCHO VIEJO RD
Address line 2 - owner
STE 127
City - owner
SAN JUAN CAPISTRANO
State - owner
CA
Zip code - owner
926751049
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
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
3870022825
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-09-09
First name - owner
AMI
Last name - owner
SATO
Title - owner
TREASURER WILDWOOD HEALTHCARE, INC.
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
5294120218
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-06-01
Organization name - owner
CMG CIT ACQUISITION, LLC
Doing business as name - owner
COREMEDICAL GROUP
Address line 1 - owner
PO BOX 306478
City - owner
NASHVILLE
State - owner
TN
Zip code - owner
372306478
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
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
5890604235
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-02-28
Organization name - owner
VENTAS, INC.
Address line 1 - owner
300 NORTH LASALLE STREET
Address line 2 - owner
STE. 1600
City - owner
CHICAGO
State - owner
IL
Zip code - owner
606546065
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
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
6507082955
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2011-03-01
First name - owner
CHAD
Last name - owner
KEETCH
Title - owner
SECRETARY ENSIGN SERVICES, INC.
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
6800061623
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-01
First name - owner
STEPHEN
Middle name - owner
W
Last name - owner
FARNSWORTH
Title - owner
DIRECTOR WILDWOOD HEALTHCARE, INC.
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
9739195553
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-02-25
First name - owner
SOON
Last name - owner
BURNAM
Title - owner
SECRETARY WILDWOOD HEALTHCARE, INC.

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