Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 4789004714 · 24 matching records

Enrollment id: O20201013003083
Associate id: 0143640177
Organization name: FOREMOST AT SHARON LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 34
Role text - owner: 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner: 2020-09-01
First name - owner: AMITAI
Last name - owner: DAGAN
Title - owner: OWNER
Percentage ownership: 30

Enrollment id: O20240118002552
Associate id: 3274985908
Organization name: OAK STREET OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2023-09-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 5

Enrollment id: O20240118002552
Associate id: 3274985908
Organization name: OAK STREET OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2026-02-17
First name - owner: AMITAI
Last name - owner: DAGAN

Enrollment id: O20240118003586
Associate id: 7911359567
Organization name: SOUTH TUTTLE AVE OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2023-09-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 5

Enrollment id: O20240223003642
Associate id: 4688019136
Organization name: PHILLIPS STREET OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2023-11-02
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 5

Enrollment id: O20250722002328
Associate id: 0648786160
Organization name: 1638 VZ CR 1803 OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-04-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 9.99

Enrollment id: O20250911000917
Associate id: 5395248868
Organization name: 520 BRADBURN ROAD OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-04-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 9.99

Enrollment id: O20251017000591
Associate id: 8022505528
Organization name: 1102 RIVER ROAD OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-04-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 9.99

Enrollment id: O20251022003156
Associate id: 5395199723
Organization name: WEST WHARTON COUNTY HOSPITAL DISTRICT
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2025-04-01
First name - owner: AMITAI
Last name - owner: DAGAN

Enrollment id: O20251028002947
Associate id: 2769971027
Organization name: 1424 FALLBROOK DR OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-08-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 9.99

Enrollment id: O20251103003827
Associate id: 2062902612
Organization name: 7499 STANWICK DR OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 86
Role text - owner: INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-08-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 28.57

Enrollment id: O20251111001950
Associate id: 7113418856
Organization name: 4300 VISTA RD OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 86
Role text - owner: INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-08-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 9.99

Enrollment id: O20251114002145
Associate id: 5395199723
Organization name: WEST WHARTON COUNTY HOSPITAL DISTRICT
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2025-04-01
First name - owner: AMITAI
Last name - owner: DAGAN

Enrollment id: O20251124000124
Associate id: 9739671108
Organization name: 413 MANSFIELD CARDINAL RD OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 86
Role text - owner: INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-09-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 28.57

Enrollment id: O20251124000641
Associate id: 2668964040
Organization name: 700 S BOWIE DR OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 86
Role text - owner: INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-09-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 28.57

Enrollment id: O20251124003030
Associate id: 7719479088
Organization name: 902 E MAIN ST OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 86
Role text - owner: INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-09-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 28.57

Enrollment id: O20251211000513
Associate id: 7315431913
Organization name: 50 BRIGGS AVE OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 86
Role text - owner: INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-09-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 28.57

Enrollment id: O20251217004092
Associate id: 5890280838
Organization name: 821 US HIGHWAY 81 W OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-10-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 28.57

Enrollment id: O20251229003354
Associate id: 8224524210
Organization name: 214 JONES RD OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 86
Role text - owner: INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-10-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 28.57

Enrollment id: O20260102003674
Associate id: 4385130970
Organization name: 305 BONITA ST OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 86
Role text - owner: INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-10-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 28.57

Enrollment id: O20260209002398
Associate id: 8921587163
Organization name: 3011 W ADAMS OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 86
Role text - owner: INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-10-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 28.57

Enrollment id: O20260210000634
Associate id: 7618456641
Organization name: 605 S AVENUE F OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 86
Role text - owner: INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-10-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 28.57

Enrollment id: O20260210004121
Associate id: 3476032350
Organization name: 701 S MARKET ST OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 86
Role text - owner: INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-10-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 28.57

Enrollment id: O20260211000897
Associate id: 1052890860
Organization name: 820 JEFFREY ST OPCO LLC
Associate id - owner: 4789004714
Type - owner: I
Role code - owner: 86
Role text - owner: INDIRECT OWNERSHIP INTEREST
Association date - owner: 2025-10-01
First name - owner: AMITAI
Last name - owner: DAGAN
Percentage ownership: 28.57

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