Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3577972892 · 11 matching records

Enrollment id
O20040727000289
Associate id
7214830454
Organization name
CONCOURSE REHAB & NURSING CTR INC
Associate id - owner
3577972892
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2004-08-01
First name - owner
DOV
Last name - owner
LEBOVIC
Enrollment id
O20040727000289
Associate id
7214830454
Organization name
CONCOURSE REHAB & NURSING CTR INC
Associate id - owner
3577972892
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2004-08-01
First name - owner
DOV
Last name - owner
LEBOVIC
Enrollment id
O20210517001446
Associate id
6608285929
Organization name
LIGHTHOUSE CLOVER, LLC
Associate id - owner
3577972892
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-10-01
First name - owner
DOV
Last name - owner
LEBOVIC
Title - owner
CEO
Percentage ownership
19
Enrollment id
O20210517001446
Associate id
6608285929
Organization name
LIGHTHOUSE CLOVER, LLC
Associate id - owner
3577972892
Type - owner
I
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2020-10-01
First name - owner
DOV
Last name - owner
LEBOVIC
Title - owner
CEO
Percentage ownership
19
Enrollment id
O20210517001446
Associate id
6608285929
Organization name
LIGHTHOUSE CLOVER, LLC
Associate id - owner
3577972892
Type - owner
I
Role code - owner
38
Role text - owner
GENERAL PARTNERSHIP INTEREST
Association date - owner
2020-10-01
First name - owner
DOV
Last name - owner
LEBOVIC
Title - owner
CEO
Percentage ownership
19
Enrollment id
O20210517001446
Associate id
6608285929
Organization name
LIGHTHOUSE CLOVER, LLC
Associate id - owner
3577972892
Type - owner
I
Role code - owner
39
Role text - owner
LIMITED PARTNERSHIP INTEREST
Association date - owner
2020-10-01
First name - owner
DOV
Last name - owner
LEBOVIC
Title - owner
CEO
Percentage ownership
19
Enrollment id
O20210517001446
Associate id
6608285929
Organization name
LIGHTHOUSE CLOVER, LLC
Associate id - owner
3577972892
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-10-01
First name - owner
DOV
Last name - owner
LEBOVIC
Title - owner
CEO
Percentage ownership
19
Enrollment id
O20210517001446
Associate id
6608285929
Organization name
LIGHTHOUSE CLOVER, LLC
Associate id - owner
3577972892
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-10-01
First name - owner
DOV
Last name - owner
LEBOVIC
Enrollment id
O20210517001446
Associate id
6608285929
Organization name
LIGHTHOUSE CLOVER, LLC
Associate id - owner
3577972892
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2020-10-01
First name - owner
DOV
Last name - owner
LEBOVIC
Enrollment id
O20210517001446
Associate id
6608285929
Organization name
LIGHTHOUSE CLOVER, LLC
Associate id - owner
3577972892
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2020-10-01
First name - owner
DOV
Last name - owner
LEBOVIC
Percentage ownership
19
Enrollment id
O20210517001446
Associate id
6608285929
Organization name
LIGHTHOUSE CLOVER, LLC
Associate id - owner
3577972892
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-10-01
First name - owner
DOV
Last name - owner
LEBOVIC
Percentage ownership
19

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