Public record

CMS Skilled Nursing Facility All Owners

Associate id: 9739450339 · 17 matching records

Enrollment id
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
0244712164
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-07-01
Address line 1 - owner
1625 MEADOWBROOK BLVD
City - owner
PAONIA
State - owner
CO
Zip code - owner
814289325
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
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
0345158556
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2016-07-01
First name - owner
COVEY
Middle name - owner
C
Last name - owner
CHRISTENSEN
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
0345158556
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-07-01
First name - owner
COVEY
Middle name - owner
C
Last name - owner
CHRISTENSEN
Title - owner
CEO
Enrollment id
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
0345158556
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-07-01
First name - owner
COVEY
Middle name - owner
C
Last name - owner
CHRISTENSEN
Enrollment id
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
0345158556
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-07-01
First name - owner
COVEY
Middle name - owner
C
Last name - owner
CHRISTENSEN
Enrollment id
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
2163745357
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-07-01
Organization name - owner
MADISON CREEK PARTNERS LLC
Doing business as name - owner
MADISON CREEK PARTNERS LLC
Address line 1 - owner
114 PACIFICA
Address line 2 - owner
STE 230
City - owner
IRVINE
State - owner
CA
Zip code - owner
926183317
Percentage ownership
100
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
Y
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
Y
Owned by another org or ind - owner
Y
Enrollment id
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
2163745357
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-07-01
Organization name - owner
MADISON CREEK PARTNERS LLC
Doing business as name - owner
MADISON CREEK PARTNERS LLC
Address line 1 - owner
114 PACIFICA
Address line 2 - owner
STE 230
City - owner
IRVINE
State - owner
CA
Zip code - owner
926183317
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
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
2163745357
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-11-14
Organization name - owner
MADISON CREEK PARTNERS LLC
Doing business as name - owner
MADISON CREEK PARTNERS LLC
Address line 1 - owner
114 PACIFICA
Address line 2 - owner
STE 230
City - owner
IRVINE
State - owner
CA
Zip code - owner
926183317
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
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
6002277480
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-12-01
First name - owner
AMBER
Middle name - owner
M
Last name - owner
HOPKINS
Enrollment id
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
6002277480
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-12-01
First name - owner
AMBER
Middle name - owner
M
Last name - owner
HOPKINS
Enrollment id
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
7113064031
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-14
First name - owner
MICHELLE
Last name - owner
GREER
Enrollment id
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
7113064031
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-14
First name - owner
MICHELLE
Last name - owner
GREER
Enrollment id
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
7517449432
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-07-01
Address line 1 - owner
1625 MEADOWBROOK BLVD
City - owner
PAONIA
State - owner
CO
Zip code - owner
814289325
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
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
9335172493
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
1998-10-01
First name - owner
TIMOTHY
Middle name - owner
C
Last name - owner
MEILNER
Enrollment id
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
9335172493
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
1998-10-01
First name - owner
TIMOTHY
Middle name - owner
C
Last name - owner
MEILNER
Enrollment id
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
9638185457
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-06-26
First name - owner
MICHAEL
Middle name - owner
JOSEPH
Last name - owner
CLEGG
Enrollment id
O20170731002952
Associate id
9739450339
Organization name
MEADOWBROOK BLVD. OPERATIONS, LLC
Associate id - owner
9638185457
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-06-26
First name - owner
MICHAEL
Middle name - owner
JOSEPH
Last name - owner
CLEGG

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