Public record

CMS Skilled Nursing Facility All Owners

Associate id: 9436289584 · 19 matching records

Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
4183851504
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-04-10
First name - owner
KAREN
Last name - owner
PAGELA-ZAMBRANO
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
4183851504
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-04-10
First name - owner
KAREN
Last name - owner
PAGELA-ZAMBRANO
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
4981597846
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2009-12-11
First name - owner
WILLIAM
Middle name - owner
A
Last name - owner
NELSON
Percentage ownership
50
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
4981597846
Type - owner
I
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2009-12-11
First name - owner
WILLIAM
Middle name - owner
A
Last name - owner
NELSON
Title - owner
CO-MANAGER
Percentage ownership
50
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
4981597846
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2009-12-11
First name - owner
WILLIAM
Middle name - owner
A
Last name - owner
NELSON
Title - owner
PRESIDENT
Percentage ownership
50
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
4981597846
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2009-12-11
First name - owner
WILLIAM
Middle name - owner
A
Last name - owner
NELSON
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
4981597846
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2009-12-11
First name - owner
WILLIAM
Middle name - owner
A
Last name - owner
NELSON
Percentage ownership
50
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
7810807526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2009-12-11
First name - owner
VICKI
Middle name - owner
P
Last name - owner
ROLLINS
Title - owner
DIRECTOR
Percentage ownership
50
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
7810807526
Type - owner
I
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2009-12-11
First name - owner
VICKI
Middle name - owner
P
Last name - owner
ROLLINS
Title - owner
CO-MANAGER
Percentage ownership
50
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
7810807526
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2009-12-11
First name - owner
VICKI
Middle name - owner
P
Last name - owner
ROLLINS
Title - owner
VICE-PRESIDENT
Percentage ownership
50
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
7810807526
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2009-12-11
First name - owner
VICKI
Middle name - owner
P
Last name - owner
ROLLINS
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
7810807526
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2009-12-11
First name - owner
VICKI
Middle name - owner
P
Last name - owner
ROLLINS
Percentage ownership
50
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
8022544238
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2010-07-22
First name - owner
LAKSHMAN
Last name - owner
MAKANDURA
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
8022544238
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2010-07-22
First name - owner
LAKSHMAN
Last name - owner
MAKANDURA
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
8628570363
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2009-12-11
Organization name - owner
GLENDORA GRAND PROPERTY, LLC
Doing business as name - owner
N/A
Address line 1 - owner
805 W ARROW HWY
City - owner
GLENDORA
State - owner
CA
Zip code - owner
917405413
Percentage ownership
100
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
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
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
8628570363
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2009-12-11
Organization name - owner
GLENDORA GRAND PROPERTY, LLC
Doing business as name - owner
N/A
Address line 1 - owner
805 W ARROW HWY
City - owner
GLENDORA
State - owner
CA
Zip code - owner
917405413
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
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
9436289584
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2009-12-11
Organization name - owner
GLENDORA GRAND, INC.
Address line 1 - owner
805W ARROW HWY
City - owner
GLENDORA
State - owner
CA
Zip code - owner
917405413
Percentage ownership
100
Created for acquisition - owner
Y
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
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
9830626142
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-02-01
First name - owner
GLADYS
Last name - owner
LAZO
Enrollment id
O20100616000271
Associate id
9436289584
Organization name
GLENDORA GRAND, INC.
Associate id - owner
9830626142
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-02-01
First name - owner
GLADYS
Last name - owner
LAZO

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