Public record

CMS Skilled Nursing Facility All Owners

Associate id: 9133422926 · 31 matching records

Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
0446161152
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-07-23
First name - owner
DOUGLAS
Middle name - owner
B
Last name - owner
BOULWARE
Percentage ownership
50
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
0446161152
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-07-23
First name - owner
DOUGLAS
Middle name - owner
B
Last name - owner
BOULWARE
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
0446161152
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2015-07-23
First name - owner
DOUGLAS
Middle name - owner
B
Last name - owner
BOULWARE
Percentage ownership
50
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
0446777940
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-04-01
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
0749573491
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-19
First name - owner
BLAKE
Last name - owner
LIPARI
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
1759808256
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-10-01
Address line 1 - owner
1000 CHINABERRY DR
Address line 2 - owner
STE 200
City - owner
BOSSIER CITY
State - owner
LA
Zip code - owner
711112443
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
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
2062793862
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2016-10-01
First name - owner
KAREN
Last name - owner
BOULWARE
Percentage ownership
12.5
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
2264959766
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-01
First name - owner
JONNAY
Middle name - owner
R
Last name - owner
BURKS
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
2668999160
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-10-01
Address line 1 - owner
1000 CHINABERRY DR
Address line 2 - owner
STE 200
City - owner
BOSSIER CITY
State - owner
LA
Zip code - owner
711112443
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
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
3173040672
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-10-01
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
3274050778
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-04-01
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
3476835273
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-10-01
Organization name - owner
PRIORITY MANAGEMENT GROUP, LLC
Address line 1 - owner
3710 RAWLINS ST
Address line 2 - owner
STE 1325
City - owner
DALLAS
State - owner
TX
Zip code - owner
752194217
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
Y
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
3476835273
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-10-01
Organization name - owner
PRIORITY MANAGEMENT GROUP, LLC
Address line 1 - owner
3710 RAWLINS ST
Address line 2 - owner
STE 1325
City - owner
DALLAS
State - owner
TX
Zip code - owner
752194217
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
Y
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
3577080076
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-04-01
Address line 1 - owner
127 W BROAD ST
Address line 2 - owner
STE 800
City - owner
LAKE CHARLES
State - owner
LA
Zip code - owner
706014297
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
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
5395262893
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-04-01
Address line 1 - owner
127 W BROAD ST
Address line 2 - owner
STE 800
City - owner
LAKE CHARLES
State - owner
LA
Zip code - owner
706014297
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
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
5991839813
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2016-10-01
First name - owner
STEVEN
Middle name - owner
D
Last name - owner
BOULWARE
Percentage ownership
12.5
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
5991839813
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-01-01
First name - owner
STEVEN
Middle name - owner
D
Last name - owner
BOULWARE
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
5991839813
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2016-10-01
First name - owner
STEVEN
Middle name - owner
D
Last name - owner
BOULWARE
Percentage ownership
12.5
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
6103219217
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-08-20
First name - owner
PARKER
Middle name - owner
C
Last name - owner
BAUDER
Percentage ownership
6.25
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
7618153842
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-08-20
First name - owner
KELLY
Middle name - owner
P
Last name - owner
BAUDER
Percentage ownership
6.25
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
7618492497
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-01
Organization name - owner
PROGRESSIVE REHAB SOLUTIONS, LLC
Address line 1 - owner
3710 RAWLINS ST
Address line 2 - owner
STE 1325
City - owner
DALLAS
State - owner
TX
Zip code - owner
752194217
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
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
8628595121
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-04-01
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
8820481930
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-08-20
First name - owner
MADISON
Middle name - owner
R
Last name - owner
BAUDER
Percentage ownership
6.25
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
8921525429
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-10-01
Address line 1 - owner
219 BARTON TRCE
City - owner
YOUNGSVILLE
State - owner
LA
Zip code - owner
705926633
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
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
9335420132
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-10-01
Organization name - owner
FBGM, L.L.C.
Address line 1 - owner
9580 BASIN ST
City - owner
SHREVEPORT
State - owner
LA
Zip code - owner
711152537
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
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
9335420132
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2016-10-01
Organization name - owner
FBGM, L.L.C.
Address line 1 - owner
9580 BASIN ST
City - owner
SHREVEPORT
State - owner
LA
Zip code - owner
711152537
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
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
9436335668
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-08-20
First name - owner
WILLIAM
Middle name - owner
M
Last name - owner
BAUDER
Percentage ownership
6.25
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
9436335668
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-08-20
First name - owner
WILLIAM
Middle name - owner
M
Last name - owner
BAUDER
Percentage ownership
6.25
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
9931244035
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-18
First name - owner
BERTHA
Middle name - owner
H
Last name - owner
DANIELS
Enrollment id
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
9931592045
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-08-20
Organization name - owner
BAUDER FAMILY INVESTMENTS, LLC
Address line 1 - owner
2718 UNIVERSITY CLUB DR
City - owner
BATON ROUGE
State - owner
LA
Zip code - owner
708100431
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
O20160302001140
Associate id
9133422926
Organization name
PRIORITY GROUP HOLDINGS, L.L.C.
Associate id - owner
9931592045
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2021-08-20
Organization name - owner
BAUDER FAMILY INVESTMENTS, LLC
Address line 1 - owner
2718 UNIVERSITY CLUB DR
City - owner
BATON ROUGE
State - owner
LA
Zip code - owner
708100431
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

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