Public record

CMS Skilled Nursing Facility All Owners

Associate id: 8527231935 · 23 matching records

Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
2860309721
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2010-11-17
Organization name - owner
GRANCARE LLC
Doing business as name - owner
PINE RIDGE CARE CENTER
Address line 1 - owner
3060 MERCER UNIVERSITY DR
Address line 2 - owner
STE 200
City - owner
ATLANTA
State - owner
GA
Zip code - owner
30341
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
Y
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
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
3476039108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-04-08
First name - owner
MARK
Last name - owner
PENYACSEK
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
3476039108
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-04-08
First name - owner
MARK
Last name - owner
PENYACSEK
Title - owner
ADMINISTRATOR
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
3476039108
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-04-08
First name - owner
MARK
Last name - owner
PENYACSEK
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
3678795739
Type - owner
O
Role code - owner
38
Role text - owner
GENERAL PARTNERSHIP INTEREST
Association date - owner
2014-08-27
Organization name - owner
SKYLINE SAN JOSE OPERATING COMPANY GP LLC
Address line 1 - owner
3060 MERCER UNIVERSITY DR
Address line 2 - owner
STE 200
City - owner
ATLANTA
State - owner
GA
Zip code - owner
30341
Percentage ownership
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
Y
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
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
4486130119
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-12-02
First name - owner
ALEXINE
Last name - owner
AZOREZ
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
4486130119
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-12-02
First name - owner
ALEXINE
Last name - owner
AZOREZ
Title - owner
DIRECTOR OF NURSING
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
4486130119
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-02
First name - owner
ALEXINE
Last name - owner
AZOREZ
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
4587571443
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2010-11-17
Organization name - owner
MHC WEST HOLDING COMPANY
Address line 1 - owner
3060 MERCER UNIVERSITY DR
Address line 2 - owner
STE 200
City - owner
ATLANTA
State - owner
GA
Zip code - owner
30341
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
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
4688622632
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2010-11-17
Organization name - owner
NATIONAL SENIOR CARE, INC.
Address line 1 - owner
3060 MERCER UNIVERSITY DR
Address line 2 - owner
STE 200
City - owner
ATLANTA
State - owner
GA
Zip code - owner
30341
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
Y
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
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
5496662355
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2010-11-17
Organization name - owner
MHC HOLDING COMPANY
Address line 1 - owner
3060 MERCER UNIVERSITY DR
Address line 2 - owner
STE 200
City - owner
ATLANTA
State - owner
GA
Zip code - owner
30341
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
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
6305753260
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2010-11-17
Organization name - owner
MARINER HEALTH CARE, INC.
Address line 1 - owner
3060 MERCER UNIVERSITY DR
Address line 2 - owner
STE 200
City - owner
ATLANTA
State - owner
GA
Zip code - owner
30341
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
Y
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
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
6709046998
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2011-12-06
Organization name - owner
GC OPERATING COMPANY LLC
Address line 1 - owner
3060 MERCER UNIVERSITY DR
Address line 2 - owner
STE 200
City - owner
ATLANTA
State - owner
GA
Zip code - owner
30341
Percentage ownership
99
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
Y
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
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
6709046998
Type - owner
O
Role code - owner
39
Role text - owner
LIMITED PARTNERSHIP INTEREST
Association date - owner
2014-08-27
Organization name - owner
GC OPERATING COMPANY LLC
Address line 1 - owner
3060 MERCER UNIVERSITY DR
Address line 2 - owner
STE 200
City - owner
ATLANTA
State - owner
GA
Zip code - owner
30341
Percentage ownership
99
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
Y
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
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
8527526375
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2026-07-15
First name - owner
ROWENA
Last name - owner
BEDUYA
Title - owner
VICE PRESIDENT
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
8527526375
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-07-15
First name - owner
ROWENA
Last name - owner
BEDUYA
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
8820422678
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-02-06
First name - owner
EMILY
Last name - owner
GRUNSTEIN
Percentage ownership
100
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
8921241787
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-08-01
First name - owner
SAMAN
Last name - owner
SABOUNCHI
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
8921241787
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-08-01
First name - owner
SAMAN
Last name - owner
SABOUNCHI
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
9537170683
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-02-06
First name - owner
DENNIS
Last name - owner
SARCAUGA
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
9537170683
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-02-06
First name - owner
DENNIS
Last name - owner
SARCAUGA
Title - owner
PRESIDENT
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
9537170683
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-06
First name - owner
DENNIS
Last name - owner
SARCAUGA
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
9638338395
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2015-06-01
Organization name - owner
CAPITAL FUNDING LLC
Address line 1 - owner
1422 CLARKVIEW RD
City - owner
BALTIMORE
State - owner
MD
Zip code - owner
212092385
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

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