Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 1355252859 · 6 matching records

Enrollment id
O20111014000201
Associate id
3577735661
Organization name
PETERSON PARK ASSOCIATES LLC
Associate id - owner
1355252859
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2011-11-29
First name - owner
RONALD
Last name - owner
SHABAT
Percentage ownership
69.15
Enrollment id
O20131025000542
Associate id
8921233099
Organization name
EVERGREEN LIVING & REHAB CENTER, LLC
Associate id - owner
1355252859
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2013-08-01
First name - owner
RONALD
Last name - owner
SHABAT
Percentage ownership
10.38
Enrollment id
O20131028001904
Associate id
6305071366
Organization name
WARREN BARR LIVING & REHAB CENTER, LLC
Associate id - owner
1355252859
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2013-08-01
First name - owner
RONALD
Last name - owner
SHABAT
Percentage ownership
10.38
Enrollment id
O20140716001922
Associate id
6002032604
Organization name
WARREN BARR NORTH SHORE LLC
Associate id - owner
1355252859
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-01-01
First name - owner
RONALD
Last name - owner
SHABAT
Percentage ownership
5.05
Enrollment id
O20140716001922
Associate id
6002032604
Organization name
WARREN BARR NORTH SHORE LLC
Associate id - owner
1355252859
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-07-01
First name - owner
RONALD
Last name - owner
SHABAT
Enrollment id
O20140818000600
Associate id
4789801655
Organization name
AVANTARA PARK RIDGE, LLC
Associate id - owner
1355252859
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2017-01-01
First name - owner
RONALD
Last name - owner
SHABAT
Percentage ownership
5.48

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