Public record

CMS Skilled Nursing Facility All Owners

Associate id: 8022146653 · 12 matching records

Enrollment id
O20100527000772
Associate id
8022146653
Organization name
AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC
Associate id - owner
0941118087
Type - owner
O
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2018-06-25
Organization name - owner
THE MCGUIRE GROUP
Address line 1 - owner
455 CAYUGA RD
City - owner
BUFFALO
State - owner
NY
Zip code - owner
142251300
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
Enrollment id
O20100527000772
Associate id
8022146653
Organization name
AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC
Associate id - owner
1355470550
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-23
First name - owner
ELIZABETH
Middle name - owner
J
Last name - owner
WOLF
Percentage ownership
4
Enrollment id
O20100527000772
Associate id
8022146653
Organization name
AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC
Associate id - owner
1456730761
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-01-01
First name - owner
SUSAN
Last name - owner
GRIGG
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20100527000772
Associate id
8022146653
Organization name
AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC
Associate id - owner
4587017058
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
RALPH
Last name - owner
ROSSO
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
100
Enrollment id
O20100527000772
Associate id
8022146653
Organization name
AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC
Associate id - owner
4880606607
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
TOM
Last name - owner
PHAN
Title - owner
QUALITY ASSURANCE
Percentage ownership
100
Enrollment id
O20100527000772
Associate id
8022146653
Organization name
AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC
Associate id - owner
5395797765
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-12-23
First name - owner
EDWARD
Middle name - owner
OSCAR
Last name - owner
FARBENBLUM
Title - owner
MANAGING MEMBER
Enrollment id
O20100527000772
Associate id
8022146653
Organization name
AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC
Associate id - owner
5395797765
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-12-23
First name - owner
EDWARD
Middle name - owner
OSCAR
Last name - owner
FARBENBLUM
Title - owner
MANAGING MEMBER
Percentage ownership
95
Enrollment id
O20100527000772
Associate id
8022146653
Organization name
AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC
Associate id - owner
6002188158
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-23
Organization name - owner
VESTRA SPV3, LLC
Address line 1 - owner
230 HILTON AVE
Address line 2 - owner
STE 4
City - owner
HEMPSTEAD
State - owner
NY
Zip code - owner
115508116
Percentage ownership
95
Created for acquisition - owner
Y
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
O20100527000772
Associate id
8022146653
Organization name
AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC
Associate id - owner
6002188158
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-12-23
Organization name - owner
VESTRA SPV3, LLC
Address line 1 - owner
230 HILTON AVE
Address line 2 - owner
STE 4
City - owner
HEMPSTEAD
State - owner
NY
Zip code - owner
115508116
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
O20100527000772
Associate id
8022146653
Organization name
AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC
Associate id - owner
8729184403
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2024-01-01
First name - owner
MELODY
Middle name - owner
A
Last name - owner
ANGEL
Title - owner
MEDICAL DIRECTOR
Percentage ownership
0
Enrollment id
O20100527000772
Associate id
8022146653
Organization name
AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC
Associate id - owner
9739594383
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-23
First name - owner
MICHELLE
Middle name - owner
A
Last name - owner
MILLER
Percentage ownership
1
Enrollment id
O20100527000772
Associate id
8022146653
Organization name
AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC
Associate id - owner
9739594383
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
MICHELLE
Middle name - owner
A
Last name - owner
MILLER
Title - owner
ADMINISTRATOR
Percentage ownership
100

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