Public record

CMS Skilled Nursing Facility All Owners

Associate id: 9638417314 · 33 matching records

Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
0345756490
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Address line 1 - owner
2201 MAIN ST
City - owner
EVANSTON
State - owner
IL
Zip code - owner
602021519
Percentage ownership
1
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
Y
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
0446766596
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-01
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
0840328670
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
First name - owner
YECHIEL
Last name - owner
MASHIACH
Percentage ownership
20
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
0840328670
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-12-01
First name - owner
YECHIEL
Last name - owner
MASHIACH
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
1254847304
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Address line 1 - owner
2201 MAIN ST
City - owner
EVANSTON
State - owner
IL
Zip code - owner
602021519
Percentage ownership
1
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
Y
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
2163938218
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Address line 1 - owner
2201 MAIN ST
City - owner
EVANSTON
State - owner
IL
Zip code - owner
602021519
Percentage ownership
1
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
Y
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
2365958410
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Percentage ownership
1
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
2466524202
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Organization name - owner
ATIED ASSOCIATES LLC
Address line 1 - owner
2201 MAIN ST
City - owner
EVANSTON
State - owner
IL
Zip code - owner
602021519
Percentage ownership
20
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
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
3072029123
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Address line 1 - owner
2201 MAIN ST
City - owner
EVANSTON
State - owner
IL
Zip code - owner
602021519
Percentage ownership
1
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
Y
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
3173039229
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Percentage ownership
1
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
3274049325
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Percentage ownership
1
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
3577838408
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
First name - owner
YAACOV
Last name - owner
MASHIACH
Percentage ownership
20
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
3577838408
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-12-01
First name - owner
YAACOV
Last name - owner
MASHIACH
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
4082120134
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Address line 1 - owner
2201 MAIN ST
City - owner
EVANSTON
State - owner
IL
Zip code - owner
602021519
Percentage ownership
1
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
Y
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
4981110038
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Address line 1 - owner
2201 MAIN ST
City - owner
EVANSTON
State - owner
IL
Zip code - owner
602021519
Percentage ownership
1
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
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
5092221143
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Percentage ownership
1
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
5890201941
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Address line 1 - owner
2201 MAIN ST
City - owner
EVANSTON
State - owner
IL
Zip code - owner
602021519
Percentage ownership
3
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
Y
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
5991211047
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Address line 1 - owner
2201 MAIN ST
City - owner
EVANSTON
State - owner
IL
Zip code - owner
602021519
Percentage ownership
1
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
Y
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
6103874615
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-12-01
First name - owner
KHAJA
Last name - owner
ASADULLAH
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
6103874615
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-12-01
First name - owner
KHAJA
Last name - owner
ASADULLAH
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
6709392855
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-12-01
Address line 1 - owner
2201 MAIN ST
City - owner
EVANSTON
State - owner
IL
Zip code - owner
602021519
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
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
6901312057
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Percentage ownership
1
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
7517473663
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-11
Address line 1 - owner
6212 N LINCOLN AVE
Address line 2 - owner
STE 2
City - owner
CHICAGO
State - owner
IL
Zip code - owner
606592200
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
Y
Other type text - owner
ACCOUNTING FIRM
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
7618483769
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-12-01
Address line 1 - owner
2201 MAIN ST
City - owner
EVANSTON
State - owner
IL
Zip code - owner
602021519
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
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
7618483769
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Address line 1 - owner
2201 MAIN ST
City - owner
EVANSTON
State - owner
IL
Zip code - owner
602021519
Percentage ownership
3
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
Y
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
7719493865
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Percentage ownership
1
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
8022243187
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
First name - owner
RITA
Last name - owner
LIPSHITZ
Percentage ownership
20
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
8325271752
Type - owner
O
Role code - owner
37
Role text - owner
5% OR GREATER SECURITY INTEREST
Association date - owner
2023-03-31
Organization name - owner
GEMINO HEALTHCARE FINANCE LLC
Doing business as name - owner
SLR HEALTHCARE ABL
Address line 1 - owner
1 INTERNATIONAL PLZ
Address line 2 - owner
STE 220
City - owner
PHILADELPHIA
State - owner
PA
Zip code - owner
191131538
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
Y
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
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
8426564576
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-11
Address line 1 - owner
2320 S LAWNDALE AVE
City - owner
CHICAGO
State - owner
IL
Zip code - owner
606233154
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
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
8628584778
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
Percentage ownership
1
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
9537675681
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-12-01
First name - owner
YEHOSHUA
Middle name - owner
ARYEH
Last name - owner
MASHIACH
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
9537675681
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-12-01
First name - owner
YEHOSHUA
Middle name - owner
ARYEH
Last name - owner
MASHIACH
Enrollment id
O20190206000066
Associate id
9638417314
Organization name
TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
9638414303
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-01
First name - owner
RHONDA
Last name - owner
MASHIACH
Percentage ownership
20

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