Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3173922960 · 34 matching records

Enrollment id
O20040908000997
Associate id
0840266151
Organization name
WESLEY GARDENS CORPORATION
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-12-01
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20141202000170
Associate id
4587842315
Organization name
JACK COUNTY HOSPITAL DISTRICT
Associate id - owner
3173922960
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-07-01
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Title - owner
MEMBER
Percentage ownership
21
Enrollment id
O20141202000887
Associate id
6103739222
Organization name
BAYLOR COUNTY HOSPITAL DISTRICT
Associate id - owner
3173922960
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-07-01
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Title - owner
MEMBER
Percentage ownership
21
Enrollment id
O20141203000193
Associate id
5193634111
Organization name
CHILDRESS COUNTY HOSPITAL DISTRICT
Associate id - owner
3173922960
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-07-01
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Title - owner
MEMBER
Percentage ownership
21
Enrollment id
O20141210001886
Associate id
5395786180
Organization name
NOCONA HOSPITAL DISTRICT
Associate id - owner
3173922960
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-07-01
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Title - owner
MEMBER
Percentage ownership
21
Enrollment id
O20150109002161
Associate id
5890602759
Organization name
PALO PINTO COUNTY HOSPITAL DISTRICT
Associate id - owner
3173922960
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-07-01
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Title - owner
MEMBER
Percentage ownership
21
Enrollment id
O20150112002064
Associate id
5890602759
Organization name
PALO PINTO COUNTY HOSPITAL DISTRICT
Associate id - owner
3173922960
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-07-01
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Title - owner
MEMBER
Percentage ownership
21
Enrollment id
O20150113001548
Associate id
5890602759
Organization name
PALO PINTO COUNTY HOSPITAL DISTRICT
Associate id - owner
3173922960
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-07-01
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Title - owner
MEMBER
Percentage ownership
21
Enrollment id
O20170710000297
Associate id
7719886282
Organization name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Associate id - owner
3173922960
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-07-01
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Title - owner
MEMBER
Percentage ownership
21
Enrollment id
O20170714001366
Associate id
5193634111
Organization name
CHILDRESS COUNTY HOSPITAL DISTRICT
Associate id - owner
3173922960
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-07-01
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Title - owner
MEMBER
Percentage ownership
21
Enrollment id
O20210503000584
Associate id
1254740392
Organization name
BRISTOL SNF LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-02-11
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
50
Enrollment id
O20220831000016
Associate id
2860876422
Organization name
THE CLUB HEALTHCARE AND REHABILITATION CENTER AT THE VILLAGES LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20220831000025
Associate id
6406230069
Organization name
WOODLAND GROVE HEALTHCARE & REHABILITATION CENTER LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20220831000049
Associate id
7113301771
Organization name
KENDALL LAKES HEALTHCARE AND REHAB CENTER, LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20220902001606
Associate id
4789068164
Organization name
SUNSET LAKE HEALTHCARE AND REHABILITATION CENTER LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20220902001952
Associate id
0345624730
Organization name
NORTH BEACH HEALTHCARE AND REHABILITATION CENTER, LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20220902002374
Associate id
4082098488
Organization name
ROCKLEDGE HEALTHCARE & REHABILITATION CENTER LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20220930002761
Associate id
5597141374
Organization name
APOLLO HEALTHCARE & REHABILITATION CENTER, LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20221025001391
Associate id
9638545197
Organization name
VILLAGE PLACE HEALTHCARE AND REHABILITATION CENTER LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20221108002518
Associate id
7416324223
Organization name
THE PONCE THERAPY CARE CENTER AND REHAB LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20221109003002
Associate id
8921475625
Organization name
PARK MEADOWS HEALTHCARE & REHABILITATION CENTER LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20221121003076
Associate id
4284002387
Organization name
VILLA HEALTHCARE & REHABILITATION CENTER LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20221122003299
Associate id
1456729433
Organization name
GARDENS HEALTHCARE & REHABILITATION CENTER, LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20221130001904
Associate id
2365810025
Organization name
GREENBRIAR HEALTHCARE REHABILITATION AND NURSING CENTER
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20221130002389
Associate id
9638547300
Organization name
THE LODGE HEALTHCARE AND REHABILITATION CENTER LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20221130003447
Associate id
8820466519
Organization name
WILTON MANORS HEALTHCARE & REHABILITATION CENTER LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20221201001637
Associate id
2466820097
Organization name
LEXINGTON HEALTHCARE AND REHABILITATION CENTER LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20221206003438
Associate id
2769851153
Organization name
LEHIGH ACRES HEALTHCARE & REHAB CENTER LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20221207000095
Associate id
6103295506
Organization name
ISLE HEALTHCARE & REHABILITATION CENTER LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20221215001182
Associate id
0941679898
Organization name
CARLTON SHORES HEALTHCARE AND REHABILITATION CENTER, LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20221217000310
Associate id
0345619102
Organization name
SOUTH CAMPUS NURSING AND REHAB LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20221217000368
Associate id
7416326277
Organization name
NORTH LAKE NURSING AND REHAB LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20221217000442
Associate id
3779952536
Organization name
TERRACE HEALTHCARE & REHABILITATION CENTER LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-27
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100
Enrollment id
O20260603003087
Associate id
8527539220
Organization name
HAGERSTOWN NURSING AND REHAB CENTER LLC
Associate id - owner
3173922960
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2026-04-01
First name - owner
JACK
Middle name - owner
Y
Last name - owner
SHELBY
Percentage ownership
100

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