Public record

CMS Skilled Nursing Facility All Owners

Associate id: 8022397587 · 37 matching records

Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
0042387409
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-11-14
Organization name - owner
FOX SUBACUTE MANAGEMENT INC
Address line 1 - owner
350 W MAIN ST
Address line 2 - owner
STE 101
City - owner
TRAPPE
State - owner
PA
Zip code - owner
194261989
Percentage ownership
100
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
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
0143358598
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-11-11
First name - owner
RALPH
Last name - owner
VAN
Title - owner
CFO
Percentage ownership
100
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
0143358598
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-11-11
First name - owner
RALPH
Last name - owner
VAN
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
0143358598
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-11-11
First name - owner
RALPH
Last name - owner
VAN
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
0345725230
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-12-19
Organization name - owner
ACHSS OFFICE VENTURES II, LLC
Address line 1 - owner
1930 S BROAD ST
City - owner
PHILADELPHIA
State - owner
PA
Zip code - owner
191452328
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
Y
Other type text - owner
LANDLORD
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
0648606681
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-12-01
Organization name - owner
MALVERN CONSTITUTION LLC
Doing business as name - owner
MALVERN BEHAVIORAL HEALTH
Address line 1 - owner
TWO VALLEY SQUARE
Address line 2 - owner
512 E. TOWNSHIP LINE ROAD, SUITE 115
City - owner
BLUE BELL
State - owner
PA
Zip code - owner
19422
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
Y
Other type text - owner
DIETARY SERVICES
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
1850381807
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2017-01-25
Organization name - owner
PHARMACY CORPORATION OF AMERICA
Doing business as name - owner
PHARMERICA
Address line 1 - owner
805 N WHITTINGTON PKWY
City - owner
LOUISVILLE
State - owner
KY
Zip code - owner
402227101
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
Y
Other type text - owner
PHARMACY PROVIDER
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
1951478312
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-11-11
First name - owner
JAMES
Middle name - owner
M
Last name - owner
FOULKE
Title - owner
CEO
Percentage ownership
90
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
1951478312
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-11-11
First name - owner
JAMES
Middle name - owner
M
Last name - owner
FOULKE
Title - owner
CEO
Percentage ownership
90
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
1951478312
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-11-11
First name - owner
JAMES
Middle name - owner
M
Last name - owner
FOULKE
Percentage ownership
90
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
1951478312
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-11-11
First name - owner
JAMES
Middle name - owner
M
Last name - owner
FOULKE
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
1951478312
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2015-11-11
First name - owner
JAMES
Middle name - owner
M
Last name - owner
FOULKE
Title - owner
DIRECTOR
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
1951478312
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-11-11
First name - owner
JAMES
Middle name - owner
M
Last name - owner
FOULKE
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
1951478312
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2015-11-11
First name - owner
JAMES
Middle name - owner
M
Last name - owner
FOULKE
Percentage ownership
90
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
2163907056
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-11-11
Organization name - owner
ISDANER & COMPANY, LLC
Address line 1 - owner
1 BALA PLZ
Address line 2 - owner
STE 502
City - owner
BALA CYNWYD
State - owner
PA
Zip code - owner
190041407
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
Y
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
Y
Other type text - owner
ACCOUNTING SERVICES
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
3072098961
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-11-08
Organization name - owner
ORRSTOWN BANK
Address line 1 - owner
105 LEADERS HEIGHTS RD
City - owner
YORK
State - owner
PA
Zip code - owner
174035137
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
Y
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
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
3476079542
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-01-01
Organization name - owner
INTELYCARE INC
Doing business as name - owner
INTELYCARE
Address line 1 - owner
1250 HANCOCK ST
Address line 2 - owner
STE 501N
City - owner
QUINCY
State - owner
MA
Zip code - owner
021694358
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
Y
Other type text - owner
STAFFING AGENCY
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
3678640034
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-11-11
First name - owner
JOSEPH
Middle name - owner
F
Last name - owner
MURRAY
Title - owner
VP AND GENERAL COUNSEL
Percentage ownership
10
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
3678640034
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-11-11
First name - owner
JOSEPH
Middle name - owner
F
Last name - owner
MURRAY
Title - owner
VP AND GENERAL COUNSEL
Percentage ownership
10
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
3678640034
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-11-11
First name - owner
JOSEPH
Middle name - owner
F
Last name - owner
MURRAY
Title - owner
DIRECTOR
Percentage ownership
100
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
3678640034
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-11-11
First name - owner
JOSEPH
Middle name - owner
F
Last name - owner
MURRAY
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
3678640034
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2015-11-11
First name - owner
JOSEPH
Middle name - owner
F
Last name - owner
MURRAY
Title - owner
DIRECTOR
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
3678640034
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-11-11
First name - owner
JOSEPH
Middle name - owner
F
Last name - owner
MURRAY
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
3678640034
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2015-11-11
First name - owner
JOSEPH
Middle name - owner
F
Last name - owner
MURRAY
Percentage ownership
10
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
4082739057
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-03-01
First name - owner
HAMMAD
Last name - owner
RAZA
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
4082739057
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-03-01
First name - owner
HAMMAD
Last name - owner
RAZA
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
4284099763
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-01-01
First name - owner
GENI
Last name - owner
FISHER
Title - owner
PRESIDENT
Percentage ownership
100
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
4284099763
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-01
First name - owner
GENI
Last name - owner
FISHER
Title - owner
DIRECTOR
Percentage ownership
100
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
4284099763
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-01-01
First name - owner
GENI
Last name - owner
FISHER
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
4284099763
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-01-01
First name - owner
GENI
Last name - owner
FISHER
Title - owner
DIRECTOR
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
4284099763
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-01
First name - owner
GENI
Last name - owner
FISHER
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
5395220388
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2020-06-17
First name - owner
JALENE
Middle name - owner
JOY
Last name - owner
DUTKA
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
6204311293
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-09-09
First name - owner
JULIE
Last name - owner
BASCOU
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
6204311293
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2020-09-09
First name - owner
JULIE
Last name - owner
BASCOU
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
8022593011
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-08-22
First name - owner
REGINA
Last name - owner
GILLMORE
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
8022593011
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-08-22
First name - owner
REGINA
Last name - owner
GILLMORE
Enrollment id
O20161128001603
Associate id
8022397587
Organization name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Associate id - owner
8123380821
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-11-11
Organization name - owner
RKL LLP
Doing business as name - owner
RKL
Address line 1 - owner
1800 FRUITVILLE PIKE
City - owner
LANCASTER
State - owner
PA
Zip code - owner
17601
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
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
Y
Other type text - owner
ACCOUNTING SERVICES

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