Public record

CMS Skilled Nursing Facility All Owners

Associate id: 9032181128 · 27 matching records

Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
0244307460
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
Organization name - owner
CENTRE COVENANT PURCHASER (Q), LLC
Address line 1 - owner
601 LEXINGTON AVE
Address line 2 - owner
FL 55
City - owner
NEW YORK
State - owner
NY
Zip code - owner
100224611
Percentage ownership
11.7
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
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
0749272706
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
First name - owner
CHRISTINE
Middle name - owner
M
Last name - owner
SIMS
Percentage ownership
11.3
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
0749272706
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-11-01
First name - owner
CHRISTINE
Middle name - owner
M
Last name - owner
SIMS
Title - owner
EXECUTIVE VICE PRESIDENT
Percentage ownership
0
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
0749272706
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2005-12-09
First name - owner
CHRISTINE
Middle name - owner
M
Last name - owner
SIMS
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
1254408479
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
Organization name - owner
CENTRE CAPITAL INVESTORS V, LP
Address line 1 - owner
601 LEXINGTON AVE
Address line 2 - owner
FL 55
City - owner
NEW YORK
State - owner
NY
Zip code - owner
100224611
Percentage ownership
11.5
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
LIMITED PARTNERSHIP
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
1456343425
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
First name - owner
ROBERT
Middle name - owner
A
Last name - owner
LEVIN
Percentage ownership
13.1
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
1456343425
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-11-01
First name - owner
ROBERT
Middle name - owner
A
Last name - owner
LEVIN
Title - owner
CEO
Percentage ownership
0
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
1456343425
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2006-04-17
First name - owner
ROBERT
Middle name - owner
A
Last name - owner
LEVIN
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
2062589286
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
Organization name - owner
CENTRE COVENANT PURCHASER (B), LLC
Address line 1 - owner
601 LEXINGTON AVE
Address line 2 - owner
FL 55
City - owner
NEW YORK
State - owner
NY
Zip code - owner
100224611
Percentage ownership
24.4
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
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
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
2365519584
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
Organization name - owner
COVENANT HOLDCO, LLC
Address line 1 - owner
120 VANTIS DR
Address line 2 - owner
STE 200
City - owner
ALISO VIEJO
State - owner
CA
Zip code - owner
926562677
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
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
2365529377
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
Organization name - owner
COVENANT CARE, LLC
Address line 1 - owner
120 VANTIS DR
Address line 2 - owner
STE 200
City - owner
ALISO VIEJO
State - owner
CA
Zip code - owner
926562677
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
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
4082764584
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-12-19
Organization name - owner
STOCKWELL FUND II LP
Address line 1 - owner
200 N. LASALLE ST
Address line 2 - owner
STE 2150
City - owner
CHICAGO
State - owner
IL
Zip code - owner
606011025
Percentage ownership
11.7
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
N
Other type - owner
Y
Other type text - owner
LIMITED PARTNERSHIP
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
4082781208
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
Organization name - owner
COVENANT SUBCO, LLC
Address line 1 - owner
27071 ALISO CREEK RD 100
City - owner
ALISO VIEJO
State - owner
CA
Zip code - owner
926565325
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
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Percentage ownership
11.3
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-11-01
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Title - owner
EXECUTIVE VICE PRESIDENT
Percentage ownership
0
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2006-04-17
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
4880761006
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
Organization name - owner
CENTRE V SECONDARY FUND, L.P.
Address line 1 - owner
601 LEXINGTON AVE
Address line 2 - owner
FL 55
City - owner
NEW YORK
State - owner
NY
Zip code - owner
100224611
Percentage ownership
24.4
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
LIMITED PARTNERSHIP
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
5597757559
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2004-06-01
Organization name - owner
COVENANT CARE CALIFORNIA, LLC
Doing business as name - owner
HUNTINGTON PARK NURSING CENTER
Address line 1 - owner
120 VANTIS DR
Address line 2 - owner
STE 200
City - owner
ALISO VIEJO
State - owner
CA
Zip code - owner
926562677
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
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
6305072612
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-05-07
First name - owner
DAVA
Middle name - owner
A
Last name - owner
ASHLEY
Title - owner
PRESIDENT
Percentage ownership
0
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
6305072612
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-03-26
First name - owner
DAVA
Middle name - owner
A
Last name - owner
ASHLEY
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
6709858855
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2004-06-01
First name - owner
CAROL
Middle name - owner
A
Last name - owner
SPARKS
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
6709878770
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
First name - owner
ANDREW
Middle name - owner
F
Last name - owner
TOROK
Percentage ownership
11.3
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
6709878770
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-11-01
First name - owner
ANDREW
Middle name - owner
F
Last name - owner
TOROK
Title - owner
EVP, SECRETARY, GENERAL COUNSEL
Percentage ownership
0
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
6800946302
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-12-19
Organization name - owner
STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS
Address line 1 - owner
2501 COOLIDGE RD 400
City - owner
EAST LANSING
State - owner
MI
Zip code - owner
488236352
Percentage ownership
11.5
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
PENSION FUND
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
7719080092
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-11-01
First name - owner
KEVIN
Middle name - owner
P
Last name - owner
CARNEY
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
7911057419
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-12-19
Organization name - owner
CENTRE COVENANT PURCHASER (S), LLC
Address line 1 - owner
11726 SAN VICENTE BLVD 450
City - owner
LOS ANGELES
State - owner
CA
Zip code - owner
900495076
Percentage ownership
11.7
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
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
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
9830359090
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2014-02-20
Organization name - owner
MIDCAP FUNDING IV TRUST
Address line 1 - owner
7255 WOODMONT AVE
Address line 2 - owner
STE 200
City - owner
BETHESDA
State - owner
MD
Zip code - owner
208147904
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
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

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