Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3971574526 · 48 matching records

Enrollment id
O20040805000579
Associate id
1759352305
Organization name
HINDS COUNTY NURSING &REHABILITATION CENTER, LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2003-04-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20040805000579
Associate id
1759352305
Organization name
HINDS COUNTY NURSING &REHABILITATION CENTER, LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2003-04-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20050412000730
Associate id
6800833757
Organization name
POPLAR SPRINGS NURSING CENTER LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2004-12-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Percentage ownership
99
Enrollment id
O20050412000730
Associate id
6800833757
Organization name
POPLAR SPRINGS NURSING CENTER LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-20
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20050412000730
Associate id
6800833757
Organization name
POPLAR SPRINGS NURSING CENTER LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-20
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20050412000730
Associate id
6800833757
Organization name
POPLAR SPRINGS NURSING CENTER LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2004-12-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Percentage ownership
99
Enrollment id
O20070827000214
Associate id
3870685563
Organization name
CLAIBORNE COUNTY SENIOR CARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2007-08-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20070827000214
Associate id
3870685563
Organization name
CLAIBORNE COUNTY SENIOR CARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2000-08-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20070827000897
Associate id
6709978356
Organization name
BELHAVEN SENIOR CARE
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2007-08-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Percentage ownership
99
Enrollment id
O20070827000897
Associate id
6709978356
Organization name
BELHAVEN SENIOR CARE
Associate id - owner
3971574526
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2004-12-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20070827000897
Associate id
6709978356
Organization name
BELHAVEN SENIOR CARE
Associate id - owner
3971574526
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2007-08-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20070827000904
Associate id
4880786433
Organization name
WILKINSON COUNTY SENIOR CARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2007-08-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20070827000904
Associate id
4880786433
Organization name
WILKINSON COUNTY SENIOR CARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-05-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20070827000904
Associate id
4880786433
Organization name
WILKINSON COUNTY SENIOR CARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2022-05-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Title - owner
CEO
Enrollment id
O20070827000904
Associate id
4880786433
Organization name
WILKINSON COUNTY SENIOR CARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2002-05-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20090309000408
Associate id
0244396752
Organization name
LOUISVILLE HEALTHCARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2009-01-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Percentage ownership
99
Enrollment id
O20090309000408
Associate id
0244396752
Organization name
LOUISVILLE HEALTHCARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-20
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20090309000408
Associate id
0244396752
Organization name
LOUISVILLE HEALTHCARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-20
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20090309000408
Associate id
0244396752
Organization name
LOUISVILLE HEALTHCARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2009-01-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20090507000369
Associate id
5799833497
Organization name
CLINTON HEALTHCARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2009-04-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20090507000369
Associate id
5799833497
Organization name
CLINTON HEALTHCARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2009-04-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20090507000369
Associate id
5799833497
Organization name
CLINTON HEALTHCARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-07
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20100127000524
Associate id
3870635907
Organization name
NORTH STREET HEALTHCARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2010-01-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20100127000524
Associate id
3870635907
Organization name
NORTH STREET HEALTHCARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2010-01-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Title - owner
MANAGING PARTNER
Percentage ownership
100
Enrollment id
O20100127000524
Associate id
3870635907
Organization name
NORTH STREET HEALTHCARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2010-01-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20100127000524
Associate id
3870635907
Organization name
NORTH STREET HEALTHCARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2010-01-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20110226000107
Associate id
0749461507
Organization name
DURANT HEALTHCARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2011-01-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20110226000107
Associate id
0749461507
Organization name
DURANT HEALTHCARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-09-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20140519000370
Associate id
7113140229
Organization name
MEADOWBROOK HEALTH & REHAB, LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2007-05-08
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Percentage ownership
99
Enrollment id
O20140519000370
Associate id
7113140229
Organization name
MEADOWBROOK HEALTH & REHAB, LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-04-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20140519000370
Associate id
7113140229
Organization name
MEADOWBROOK HEALTH & REHAB, LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-04-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20171128000700
Associate id
7911264007
Organization name
TREND HEALTH AND REHAB OF CARTHAGE
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2017-10-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Percentage ownership
99
Enrollment id
O20171128000700
Associate id
7911264007
Organization name
TREND HEALTH AND REHAB OF CARTHAGE
Associate id - owner
3971574526
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-10-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20171128000700
Associate id
7911264007
Organization name
TREND HEALTH AND REHAB OF CARTHAGE
Associate id - owner
3971574526
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2017-10-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Percentage ownership
99
Enrollment id
O20191007000205
Associate id
2668703695
Organization name
TREND HEALTH & REHAB OF MERIDIAN LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2019-09-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Percentage ownership
99
Enrollment id
O20191007000205
Associate id
2668703695
Organization name
TREND HEALTH & REHAB OF MERIDIAN LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-09-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20210420000218
Associate id
2466860101
Organization name
TREND HEALTH AND REHAB OF BROOKHAVEN
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-04-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Percentage ownership
99
Enrollment id
O20210420000218
Associate id
2466860101
Organization name
TREND HEALTH AND REHAB OF BROOKHAVEN
Associate id - owner
3971574526
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-04-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20210511001548
Associate id
9234548876
Organization name
CARTHAGE SENIOR CARE
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-05-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Percentage ownership
99
Enrollment id
O20210511001548
Associate id
9234548876
Organization name
CARTHAGE SENIOR CARE
Associate id - owner
3971574526
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-05-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20240910003300
Associate id
7113467721
Organization name
TREND HEALTH AND REHAB OF HOUSTON LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-06-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Percentage ownership
99
Enrollment id
O20240910003300
Associate id
7113467721
Organization name
TREND HEALTH AND REHAB OF HOUSTON LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2024-06-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Title - owner
MORTGAGE
Percentage ownership
100
Enrollment id
O20240910003300
Associate id
7113467721
Organization name
TREND HEALTH AND REHAB OF HOUSTON LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
38
Role text - owner
GENERAL PARTNERSHIP INTEREST
Association date - owner
2024-06-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Percentage ownership
99
Enrollment id
O20240910003300
Associate id
7113467721
Organization name
TREND HEALTH AND REHAB OF HOUSTON LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-06-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20240910003300
Associate id
7113467721
Organization name
TREND HEALTH AND REHAB OF HOUSTON LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-06-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Title - owner
MANAGING MEMBER
Enrollment id
O20240910003300
Associate id
7113467721
Organization name
TREND HEALTH AND REHAB OF HOUSTON LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-06-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20250717001234
Associate id
2466967419
Organization name
TREND HEALTH AND REHAB OF NATCHEZ, LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2025-01-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Percentage ownership
99
Enrollment id
O20250717001234
Associate id
2466967419
Organization name
TREND HEALTH AND REHAB OF NATCHEZ, LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY

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