Public record

CMS Skilled Nursing Facility All Owners

Associate id: 9830237700 · 18 matching records

Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
1355371600
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-01-01
First name - owner
DALE
Middle name - owner
J
Last name - owner
BRENT
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
1355371600
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-01-01
First name - owner
DALE
Middle name - owner
J
Last name - owner
BRENT
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
1759810575
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-03-21
First name - owner
CHRISTOPHER
Last name - owner
SIREGAR
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
1759810575
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-03-21
First name - owner
CHRISTOPHER
Last name - owner
SIREGAR
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
4082752951
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2007-11-01
Organization name - owner
RUBINS BRIERWOOD TERRACE CONVALESCENT HOSPITAL
Doing business as name - owner
N/A
Address line 1 - owner
447 N JUNE ST
City - owner
LOS ANGELES
State - owner
CA
Zip code - owner
900041001
Percentage ownership
100
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
PARTNERSHIP
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
4082752951
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-23
Organization name - owner
RUBINS BRIERWOOD TERRACE CONVALESCENT HOSPITAL
Doing business as name - owner
N/A
Address line 1 - owner
447 N JUNE ST
City - owner
LOS ANGELES
State - owner
CA
Zip code - owner
900041001
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
PARTNERSHIP
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
4981597846
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2007-11-01
First name - owner
WILLIAM
Middle name - owner
A
Last name - owner
NELSON
Title - owner
PRESIDENT
Percentage ownership
50
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
4981597846
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2007-11-01
First name - owner
WILLIAM
Middle name - owner
A
Last name - owner
NELSON
Title - owner
PRESIDENT
Percentage ownership
50
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
4981597846
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-11-01
First name - owner
WILLIAM
Middle name - owner
A
Last name - owner
NELSON
Title - owner
PRESIDENT
Percentage ownership
50
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
4981597846
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2007-11-01
First name - owner
WILLIAM
Middle name - owner
A
Last name - owner
NELSON
Percentage ownership
50
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
7810807526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2007-11-01
First name - owner
VICKI
Middle name - owner
P
Last name - owner
ROLLINS
Title - owner
VICE-PRESIDENT
Percentage ownership
50
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
7810807526
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2007-11-01
First name - owner
VICKI
Middle name - owner
P
Last name - owner
ROLLINS
Title - owner
VICE-PRESIDENT
Percentage ownership
50
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
7810807526
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-11-01
First name - owner
VICKI
Middle name - owner
P
Last name - owner
ROLLINS
Title - owner
VICE-PRESIDENT
Percentage ownership
50
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
7810807526
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2007-11-01
First name - owner
VICKI
Middle name - owner
P
Last name - owner
ROLLINS
Percentage ownership
50
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
9032644083
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-04-22
First name - owner
ALEJANDRO
Last name - owner
HERNANDEZ
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
9032644083
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-04-22
First name - owner
ALEJANDRO
Last name - owner
HERNANDEZ
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
9830237700
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2007-11-01
Organization name - owner
FLOWER VILLA, INC.
Address line 1 - owner
1480 S LA CIENEGA BLVD
City - owner
LOS ANGELES
State - owner
CA
Zip code - owner
900353715
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
N
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
9830237700
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-12-24
Organization name - owner
FLOWER VILLA, INC.
Address line 1 - owner
1480 S LA CIENEGA BLVD
City - owner
LOS ANGELES
State - owner
CA
Zip code - owner
900353715
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

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