Public record

CMS Skilled Nursing Facility All Owners

Associate id: 8325176696 · 50 matching records

Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
0143720144
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-04-07
First name - owner
ERIC
Last name - owner
CHECKLEY
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
0143720144
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-08
First name - owner
ERIC
Last name - owner
CHECKLEY
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
0345740338
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Address line 1 - owner
4053 FOXHOUND DR
City - owner
CLERMONT
State - owner
FL
Zip code - owner
347118160
Percentage ownership
0.13
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
Y
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
0345740346
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.17
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
0446750434
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Address line 1 - owner
13015 POPPY SEED
City - owner
SAN ANTONIO
State - owner
TX
Zip code - owner
782536146
Percentage ownership
0.1
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
Y
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
0446750442
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.1
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
0547645871
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Organization name - owner
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL
Address line 1 - owner
18198 SHELLEY POND CT
City - owner
NORTHVILLE
State - owner
MI
Zip code - owner
481683543
Percentage ownership
7.5
Created for acquisition - owner
N
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
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
TRUST
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
0547645871
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-09-01
Organization name - owner
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL
Address line 1 - owner
18198 SHELLEY POND CT
City - owner
NORTHVILLE
State - owner
MI
Zip code - owner
481683543
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
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
TRUST
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
0547679102
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-04-07
First name - owner
TAMMY
Last name - owner
ROUSE
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
0941700942
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Organization name - owner
CHARLES WESTLAND LLC
Doing business as name - owner
CHARLES A. DUNN AGREEMENT OF TRUST 3.14.2001
Address line 1 - owner
30870 KIRK LN
City - owner
FRANKLIN
State - owner
MI
Zip code - owner
480252160
Percentage ownership
30
Created for acquisition - owner
N
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
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
1052811056
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-31
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
1153821145
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Address line 1 - owner
155 GOLFCREST DR
City - owner
DEARBORN
State - owner
MI
Zip code - owner
481241117
Percentage ownership
1.4
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
Y
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
1153821152
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.17
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
1557861556
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.13
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
1951801950
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-01
Address line 1 - owner
1785 INDIAN WOOD CIR
City - owner
MAUMEE
State - owner
OH
Zip code - owner
435374010
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
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
LLP
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
2062845829
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-09-01
Organization name - owner
OPTUM MANAGEMENT SOLUTIONS. INC
Doing business as name - owner
OPTALIS MANAGEMENT SOLUTIONS. INC
Address line 1 - owner
25500 MEADOWBROOK RD
Address line 2 - owner
STE 230
City - owner
NOVI
State - owner
MI
Zip code - owner
483751882
Percentage ownership
100
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
Y
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
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
2062845829
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-09
Organization name - owner
OPTUM MANAGEMENT SOLUTIONS. INC
Doing business as name - owner
OPTALIS MANAGEMENT SOLUTIONS. INC
Address line 1 - owner
25500 MEADOWBROOK RD
Address line 2 - owner
STE 230
City - owner
NOVI
State - owner
MI
Zip code - owner
483751882
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
Y
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
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
2062845829
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Organization name - owner
OPTUM MANAGEMENT SOLUTIONS. INC
Doing business as name - owner
OPTALIS MANAGEMENT SOLUTIONS. INC
Address line 1 - owner
25500 MEADOWBROOK RD
Address line 2 - owner
STE 230
City - owner
NOVI
State - owner
MI
Zip code - owner
483751882
Percentage ownership
1.08
Created for acquisition - owner
N
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
Y
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
Y
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
2264932250
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Address line 1 - owner
4345 CARDIFF WAY
City - owner
CUMMING
State - owner
GA
Zip code - owner
300415878
Percentage ownership
0.13
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
Y
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
2264932268
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.13
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
2365942364
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.33
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
2466837794
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Organization name - owner
SNW LLC
Address line 1 - owner
32685 ROCKRIDGE LN
City - owner
FARMINGTON HILLS
State - owner
MI
Zip code - owner
483341853
Percentage ownership
30
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
Y
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
Y
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
2466837794
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-09-01
Organization name - owner
SNW LLC
Address line 1 - owner
32685 ROCKRIDGE LN
City - owner
FARMINGTON HILLS
State - owner
MI
Zip code - owner
483341853
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
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
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
2567962566
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.13
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
2961902960
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.13
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
3072013069
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Address line 1 - owner
6116 W POTTER DR
City - owner
GLENDALE
State - owner
AZ
Zip code - owner
853086733
Percentage ownership
0.38
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
Y
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
3072013077
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.11
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
3375043375
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.4
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
3375928609
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Organization name - owner
PAAR 108 LLC
Address line 1 - owner
18198 SHELLEY POND CT
City - owner
NORTHVILLE
State - owner
MI
Zip code - owner
481683543
Percentage ownership
30
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
Y
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
Y
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
3375928609
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-09-01
Organization name - owner
PAAR 108 LLC
Address line 1 - owner
18198 SHELLEY POND CT
City - owner
NORTHVILLE
State - owner
MI
Zip code - owner
481683543
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
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
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
3779083779
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2019-09-01
Organization name - owner
MERCHANTS BANK OF INDIANA
Address line 1 - owner
3737 E 96TH ST
City - owner
INDIANAPOLIS
State - owner
IN
Zip code - owner
462401423
Percentage ownership
80
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
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
3870093867
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Organization name - owner
OPTALIS LP INVESTORS 1, LLC
Address line 1 - owner
25500 MEADOWBROOK RD
Address line 2 - owner
STE 230
City - owner
NOVI
State - owner
MI
Zip code - owner
483751882
Percentage ownership
10
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
Y
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
Y
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
3870093867
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-09-01
Organization name - owner
OPTALIS LP INVESTORS 1, LLC
Address line 1 - owner
25500 MEADOWBROOK RD
Address line 2 - owner
STE 230
City - owner
NOVI
State - owner
MI
Zip code - owner
483751882
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
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
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
3971003971
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.1
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
4082114079
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Address line 1 - owner
5557 SADDLEWOOD LN
City - owner
BRENTWOOD
State - owner
TN
Zip code - owner
370274739
Percentage ownership
0.07
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
Y
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
4183124183
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.1
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
4284019514
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Organization name - owner
CHARLES FRANKLIN LLC
Address line 1 - owner
30870 KIRK LN
City - owner
FRANKLIN
State - owner
MI
Zip code - owner
480252160
Percentage ownership
30
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
Y
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
Y
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
4284019514
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-09-01
Organization name - owner
CHARLES FRANKLIN LLC
Address line 1 - owner
30870 KIRK LN
City - owner
FRANKLIN
State - owner
MI
Zip code - owner
480252160
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
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
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
4789184789
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.1
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
5193100428
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Organization name - owner
HEMANT SHAH 2018 IRREVOCABLE TRUST
Address line 1 - owner
32685 ROCKRIDGE LN
City - owner
FARMINGTON HILLS
State - owner
MI
Zip code - owner
483341853
Percentage ownership
29.7
Created for acquisition - owner
N
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
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
5193100428
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-09-01
Organization name - owner
HEMANT SHAH 2018 IRREVOCABLE TRUST
Address line 1 - owner
32685 ROCKRIDGE LN
City - owner
FARMINGTON HILLS
State - owner
MI
Zip code - owner
483341853
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
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
Y
Other type - owner
N
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
5193225191
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.2
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
5294235297
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.13
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
5395245393
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.13
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
5890295885
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Address line 1 - owner
12727 FERNBERRY LN
City - owner
BOYDS
State - owner
MD
Zip code - owner
208414132
Percentage ownership
0.3
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
Y
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
5991205999
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Percentage ownership
0.13
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
6002020146
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-09-01
First name - owner
RAJAN
Last name - owner
PATEL
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
6002020146
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-04-07
First name - owner
RAJAN
Last name - owner
PATEL
Title - owner
CEO
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
6002291333
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
Organization name - owner
RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020
Address line 1 - owner
18198 SHELLEY POND CT
City - owner
NORTHVILLE
State - owner
MI
Zip code - owner
481683543
Percentage ownership
7.5
Created for acquisition - owner
N
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
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
TRUST
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20100506000409
Associate id
8325176696
Organization name
SHELBY HEALTH AND REHABILITATION CENTER, LLC
Associate id - owner
6002291333
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-09-01
Organization name - owner
RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020
Address line 1 - owner
18198 SHELLEY POND CT
City - owner
NORTHVILLE
State - owner
MI
Zip code - owner
481683543
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
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
TRUST

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