Public record

CMS Skilled Nursing Facility All Owners

Associate id: 7911206511 · 9 matching records

Enrollment id
O20160503002500
Associate id
7911206511
Organization name
CRYSTAL CARE OF IRONTON, LLC
Associate id - owner
4486561057
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2016-02-01
First name - owner
PAUL
Middle name - owner
B
Last name - owner
BERGSTEN
Enrollment id
O20160503002500
Associate id
7911206511
Organization name
CRYSTAL CARE OF IRONTON, LLC
Associate id - owner
4486561057
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-02-01
First name - owner
PAUL
Middle name - owner
B
Last name - owner
BERGSTEN
Title - owner
CEO
Enrollment id
O20160503002500
Associate id
7911206511
Organization name
CRYSTAL CARE OF IRONTON, LLC
Associate id - owner
4486561057
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-02-01
First name - owner
PAUL
Middle name - owner
B
Last name - owner
BERGSTEN
Title - owner
CEO
Enrollment id
O20160503002500
Associate id
7911206511
Organization name
CRYSTAL CARE OF IRONTON, LLC
Associate id - owner
5799856316
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2016-02-01
First name - owner
MATTHEW
Last name - owner
DAPORE
Percentage ownership
40
Enrollment id
O20160503002500
Associate id
7911206511
Organization name
CRYSTAL CARE OF IRONTON, LLC
Associate id - owner
5799856316
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-02-01
First name - owner
MATTHEW
Last name - owner
DAPORE
Title - owner
COO
Enrollment id
O20160503002500
Associate id
7911206511
Organization name
CRYSTAL CARE OF IRONTON, LLC
Associate id - owner
5799856316
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-02-01
First name - owner
MATTHEW
Last name - owner
DAPORE
Title - owner
COO
Enrollment id
O20160503002500
Associate id
7911206511
Organization name
CRYSTAL CARE OF IRONTON, LLC
Associate id - owner
6709106701
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2017-09-01
Organization name - owner
HILLSTONE HEALTHCARE INC.
Doing business as name - owner
HILLSTONE HEALTHCARE
Address line 1 - owner
544 ENTERPRISE DR
Address line 2 - owner
STE G
City - owner
LEWIS CENTER
State - owner
OH
Zip code - owner
430359704
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
Enrollment id
O20160503002500
Associate id
7911206511
Organization name
CRYSTAL CARE OF IRONTON, LLC
Associate id - owner
8820454564
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-02-16
First name - owner
TARA
Last name - owner
RAMSEY
Enrollment id
O20160503002500
Associate id
7911206511
Organization name
CRYSTAL CARE OF IRONTON, LLC
Associate id - owner
8921320631
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-03-01
First name - owner
PETER
Last name - owner
DETTY
Title - owner
ADMINISTRATOR

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