Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3072526219 · 50 matching records

Enrollment id: O20111014000201
Associate id: 3577735661
Organization name: PETERSON PARK ASSOCIATES LLC
Associate id - owner: 3072526219
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: MENACHEM
Last name - owner: SHABAT
Title - owner: OFFICER
Percentage ownership: 9.04

Enrollment id: O20111014000201
Associate id: 3577735661
Organization name: PETERSON PARK ASSOCIATES LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2011-11-29
First name - owner: MENACHEM
Last name - owner: SHABAT
Percentage ownership: 100

Enrollment id: O20131025000542
Associate id: 8921233099
Organization name: EVERGREEN LIVING & REHAB CENTER, LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 34
Role text - owner: 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner: 2015-01-01
First name - owner: MENACHEM
Last name - owner: SHABAT
Percentage ownership: 25.81

Enrollment id: O20131025000542
Associate id: 8921233099
Organization name: EVERGREEN LIVING & REHAB CENTER, LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2013-08-01
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER
Percentage ownership: 50

Enrollment id: O20131028001904
Associate id: 6305071366
Organization name: WARREN BARR LIVING & REHAB CENTER, LLC
Associate id - owner: 3072526219
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: MENACHEM
Last name - owner: SHABAT
Percentage ownership: 34.77

Enrollment id: O20131028001904
Associate id: 6305071366
Organization name: WARREN BARR LIVING & REHAB CENTER, LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2013-08-01
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER
Percentage ownership: 50

Enrollment id: O20140407000398
Associate id: 6002048030
Organization name: AURORA PAC LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2017-01-01
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER
Percentage ownership: 50

Enrollment id: O20140407000398
Associate id: 6002048030
Organization name: AURORA PAC LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2017-01-01
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER OF THE MANAGER

Enrollment id: O20140407000398
Associate id: 6002048030
Organization name: AURORA PAC LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2017-01-01
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20140409000003
Associate id: 4587896436
Organization name: LONG GROVE PAC LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2017-01-01
First name - owner: MENACHEM
Last name - owner: SHABAT
Percentage ownership: 50

Enrollment id: O20140409000003
Associate id: 4587896436
Organization name: LONG GROVE PAC LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2017-01-01
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER OF THE MANAGER

Enrollment id: O20140409000003
Associate id: 4587896436
Organization name: LONG GROVE PAC LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2017-01-01
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20140716001922
Associate id: 6002032604
Organization name: WARREN BARR NORTH SHORE LLC
Associate id - owner: 3072526219
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: MENACHEM
Last name - owner: SHABAT
Percentage ownership: 31.65

Enrollment id: O20140716001922
Associate id: 6002032604
Organization name: WARREN BARR NORTH SHORE LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2018-01-01
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER

Enrollment id: O20140716001922
Associate id: 6002032604
Organization name: WARREN BARR NORTH SHORE LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2018-01-01
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER OF THE MANAGER

Enrollment id: O20140716001922
Associate id: 6002032604
Organization name: WARREN BARR NORTH SHORE LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2014-07-01
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20140818000600
Associate id: 4789801655
Organization name: AVANTARA PARK RIDGE, LLC
Associate id - owner: 3072526219
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: MENACHEM
Last name - owner: SHABAT
Title - owner: OWNER
Percentage ownership: 14.61

Enrollment id: O20150105000415
Associate id: 0749503407
Organization name: MORTON GROVE LIVING & REHAB CENTER, LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 34
Role text - owner: 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner: 2014-10-01
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER OF THE PROVIDER ENTITY
Percentage ownership: 50

Enrollment id: O20150105000415
Associate id: 0749503407
Organization name: MORTON GROVE LIVING & REHAB CENTER, LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2014-10-01
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER OF TEH PROVIDER ENTITY
Percentage ownership: 50

Enrollment id: O20151202003069
Associate id: 0345540969
Organization name: LINCOLN PARK SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20151202003069
Associate id: 0345540969
Organization name: LINCOLN PARK SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER OF THE MANAGER

Enrollment id: O20151202003069
Associate id: 0345540969
Organization name: LINCOLN PARK SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20151203000309
Associate id: 2062712698
Organization name: ELMBROOK SKILLED NURSING FACILITY, LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20151203000309
Associate id: 2062712698
Organization name: ELMBROOK SKILLED NURSING FACILITY, LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER OF THE MANAGER

Enrollment id: O20151203000309
Associate id: 2062712698
Organization name: ELMBROOK SKILLED NURSING FACILITY, LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20151203003449
Associate id: 8820398423
Organization name: EVANSTON SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER(HIGHEST RANKING OFFICIAL

Enrollment id: O20151204002172
Associate id: 3072813526
Organization name: ASTORIA PLACE SKILLED NURSING FACILITY, LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2015-11-01
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20151204002172
Associate id: 3072813526
Organization name: ASTORIA PLACE SKILLED NURSING FACILITY, LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER OF THE MANAGER

Enrollment id: O20151204002172
Associate id: 3072813526
Organization name: ASTORIA PLACE SKILLED NURSING FACILITY, LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2015-11-01
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20151204002542
Associate id: 3173823630
Organization name: LAKEFRONT SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20151204002542
Associate id: 3173823630
Organization name: LAKEFRONT SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER OF THE MANAGER

Enrollment id: O20151204002542
Associate id: 3173823630
Organization name: LAKEFRONT SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2015-11-06
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20151207000325
Associate id: 0143520619
Organization name: SKOKIE SKILLED NURSING FACILITY, LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER(HIGHEST RANKING OFFICIAL

Enrollment id: O20151208002582
Associate id: 5395046783
Organization name: GROVE AT THE LAKE SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20151208002582
Associate id: 5395046783
Organization name: GROVE AT THE LAKE SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER OF THE MANAGER

Enrollment id: O20151208002582
Associate id: 5395046783
Organization name: GROVE AT THE LAKE SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20151210000272
Associate id: 4880995174
Organization name: NORTHBROOK SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20151210000272
Associate id: 4880995174
Organization name: NORTHBROOK SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER OF THE MANAGER

Enrollment id: O20151210000272
Associate id: 4880995174
Organization name: NORTHBROOK SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20151210000491
Associate id: 1557662848
Organization name: CHALET SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20151210000491
Associate id: 1557662848
Organization name: CHALET SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER OF THE MANAGER

Enrollment id: O20151210000491
Associate id: 1557662848
Organization name: CHALET SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2015-11-06
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20160128001871
Associate id: 1658674445
Organization name: LAGRANGE SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20160128001871
Associate id: 1658674445
Organization name: LAGRANGE SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER OF THE MANAGER

Enrollment id: O20160128001871
Associate id: 1658674445
Organization name: LAGRANGE SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20160215001081
Associate id: 9032413844
Organization name: CARLTON SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20160215001081
Associate id: 9032413844
Organization name: CARLTON SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER OF THE MANAGER

Enrollment id: O20160215001081
Associate id: 9032413844
Organization name: CARLTON SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2017-05-03
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20161122001219
Associate id: 9830478460
Organization name: CLARK SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2017-01-01
First name - owner: MENACHEM
Last name - owner: SHABAT

Enrollment id: O20161122001219
Associate id: 9830478460
Organization name: CLARK SKILLED NURSING FACILITY LLC
Associate id - owner: 3072526219
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2017-01-01
First name - owner: MENACHEM
Last name - owner: SHABAT
Title - owner: MANAGER

Showing the first 50 matching records.

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