Public record

CMS Skilled Nursing Facility All Owners

Associate id: 8820444730 · 49 matching records

Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
0244742203
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 204
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016206
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
1052765351
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Organization name - owner
WITZCORP GLOBAL LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
25
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
N
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
1052765351
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
Organization name - owner
WITZCORP GLOBAL LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
1052765351
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Organization name - owner
WITZCORP GLOBAL LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
25
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
1052777372
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Organization name - owner
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
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
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
1153842851
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
Organization name - owner
COUVE HEALTHCARE CONSULTING LLC
Doing business as name - owner
COUVE HEALTHCARE CONSULTING LLC
Address line 1 - owner
4601 NE 77TH AVE
Address line 2 - owner
STE 300
City - owner
VANCOUVER
State - owner
WA
Zip code - owner
986626736
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
N
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
1153842851
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-01
Organization name - owner
COUVE HEALTHCARE CONSULTING LLC
Doing business as name - owner
COUVE HEALTHCARE CONSULTING LLC
Address line 1 - owner
4601 NE 77TH AVE
Address line 2 - owner
STE 300
City - owner
VANCOUVER
State - owner
WA
Zip code - owner
986626736
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
N
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
1254843212
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
2.25
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
1759502891
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
KARRIE
Last name - owner
RICH
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
1759502891
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
KARRIE
Last name - owner
RICH
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
1759502891
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
First name - owner
KARRIE
Last name - owner
RICH
Percentage ownership
0
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
2264944222
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
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
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
2961868286
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
Organization name - owner
COUVE FINANCIAL SERVICES LLC
Address line 1 - owner
4601 NE 77TH AVE
Address line 2 - owner
STE 300
City - owner
VANCOUVER
State - owner
WA
Zip code - owner
986626736
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
Y
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
2961868286
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-01
Organization name - owner
COUVE FINANCIAL SERVICES LLC
Address line 1 - owner
4601 NE 77TH AVE
Address line 2 - owner
STE 300
City - owner
VANCOUVER
State - owner
WA
Zip code - owner
986626736
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
Y
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
3072025030
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
2.25
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
3375935323
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
DORIS
Last name - owner
FISCHER
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
3375935323
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
DORIS
Last name - owner
FISCHER
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
4789038084
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
Organization name - owner
PACIFIC NORTHWEST OPCO MANAGEMENT LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Corporation - owner
N
Llc - owner
Y
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
4789038084
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-05-27
Organization name - owner
PACIFIC NORTHWEST OPCO MANAGEMENT LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Corporation - owner
N
Llc - owner
Y
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
4789038084
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Organization name - owner
PACIFIC NORTHWEST OPCO MANAGEMENT LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
0
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
4880106848
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 204
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016206
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
6103338173
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
JAMES
Last name - owner
HOHN
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
6103338173
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-08-31
First name - owner
JAMES
Last name - owner
HOHN
Title - owner
DIVISIONAL DIRECTOR OF CLINICAL OPS
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
6103338173
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
JAMES
Last name - owner
HOHN
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
7113439183
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Percentage ownership
1
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
7517395833
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
YITZCHOK
Last name - owner
YENOWITZ
Title - owner
CHIEF EXECUTIVE OFFICER
Percentage ownership
100
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
7517395833
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
YITZCHOK
Last name - owner
YENOWITZ
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
7517395833
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
First name - owner
YITZCHOK
Last name - owner
YENOWITZ
Percentage ownership
25
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
7517479579
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
Organization name - owner
MONTANA SNF CONSULTING LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Corporation - owner
N
Llc - owner
Y
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
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
N
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
7517479579
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-06-19
Organization name - owner
MONTANA SNF CONSULTING LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Corporation - owner
N
Llc - owner
Y
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
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
N
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
7517479579
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Organization name - owner
MONTANA SNF CONSULTING LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
0
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
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
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
N
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
7618243155
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
YISROEL
Middle name - owner
E
Last name - owner
HERZKA
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
7618243155
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
First name - owner
YISROEL
Middle name - owner
E
Last name - owner
HERZKA
Percentage ownership
66.5
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
7618489675
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
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
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
N
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
8224075270
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
STEVEN
Middle name - owner
W
Last name - owner
PALMIERI
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
8820444730
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
Organization name - owner
MISSOULA SNF OPERATIONS LLC
Doing business as name - owner
MISSOULA HEALTH & REHABILITATION CENTER
Address line 1 - owner
3018 RATTLESNAKE DR
City - owner
MISSOULA
State - owner
MT
Zip code - owner
598026101
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
8820444730
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-06-19
Organization name - owner
MISSOULA SNF OPERATIONS LLC
Doing business as name - owner
MISSOULA HEALTH & REHABILITATION CENTER
Address line 1 - owner
3018 RATTLESNAKE DR
City - owner
MISSOULA
State - owner
MT
Zip code - owner
598026101
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
8820444730
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Organization name - owner
MISSOULA SNF OPERATIONS LLC
Doing business as name - owner
MISSOULA HEALTH & REHABILITATION CENTER
Address line 1 - owner
3018 RATTLESNAKE DR
City - owner
MISSOULA
State - owner
MT
Zip code - owner
598026101
Percentage ownership
0
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
8921468000
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-08-31
First name - owner
SHIMON
Last name - owner
SPIELMAN
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
8921468000
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
SHIMON
Last name - owner
SPIELMAN
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
8921468000
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
SHIMON
Last name - owner
SPIELMAN
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
9133585458
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Organization name - owner
CH PACIFIC NORTHWEST HOLDINGS LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
66.5
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
9133585458
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
Organization name - owner
CH PACIFIC NORTHWEST HOLDINGS LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
9133585458
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Organization name - owner
CH PACIFIC NORTHWEST HOLDINGS LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
Percentage ownership
66.5
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
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Title - owner
DIVISIONAL DIRECTOR OF OPERATIONS
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
9931555018
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Organization name - owner
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (MT) LLC
Address line 1 - owner
1777 AVENUE OF THE STATES
Address line 2 - owner
STE 102
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087016205
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
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
Y
Owned by another org or ind - owner
Y
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
9931611902
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
Percentage ownership
3

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