Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 6103119995 · 22 matching records

Enrollment id
O20150723006881
Associate id
1153634969
Organization name
17322 EUCLID AVENUE COMPANY LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2015-06-15
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Enrollment id
O20150723006881
Associate id
1153634969
Organization name
17322 EUCLID AVENUE COMPANY LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-06-04
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Title - owner
MANING MEMBER
Percentage ownership
50
Enrollment id
O20150723006881
Associate id
1153634969
Organization name
17322 EUCLID AVENUE COMPANY LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-06-04
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Title - owner
SOLE OFFICER
Percentage ownership
100
Enrollment id
O20150723006881
Associate id
1153634969
Organization name
17322 EUCLID AVENUE COMPANY LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-06-04
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Title - owner
SOLE DIRECTOR
Percentage ownership
100
Enrollment id
O20200610002002
Associate id
3375964703
Organization name
2473 NORTH ROAD NE OPCO, LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-05-01
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Percentage ownership
40.5
Enrollment id
O20200610002002
Associate id
3375964703
Organization name
2473 NORTH ROAD NE OPCO, LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-05-01
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Enrollment id
O20200610002002
Associate id
3375964703
Organization name
2473 NORTH ROAD NE OPCO, LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2020-05-01
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Enrollment id
O20250113001799
Associate id
9830627272
Organization name
5000 SOWUL BOULEVARD OPCO LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-06-27
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Percentage ownership
46
Enrollment id
O20250113001799
Associate id
9830627272
Organization name
5000 SOWUL BOULEVARD OPCO LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-06-27
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Percentage ownership
4.67
Enrollment id
O20250113001799
Associate id
9830627272
Organization name
5000 SOWUL BOULEVARD OPCO LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-06-27
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Title - owner
VICE PRESIDENT AND SECRETARY
Percentage ownership
50
Enrollment id
O20250113001799
Associate id
9830627272
Organization name
5000 SOWUL BOULEVARD OPCO LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-06-27
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Title - owner
SOLE DIRECTOR
Percentage ownership
100
Enrollment id
O20250113001799
Associate id
9830627272
Organization name
5000 SOWUL BOULEVARD OPCO LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-06-27
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Enrollment id
O20250113001799
Associate id
9830627272
Organization name
5000 SOWUL BOULEVARD OPCO LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-06-27
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Title - owner
MANAGING MEMBER
Enrollment id
O20250113001799
Associate id
9830627272
Organization name
5000 SOWUL BOULEVARD OPCO LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-06-27
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Enrollment id
O20250502001267
Associate id
0840716825
Organization name
670 OH OPCO LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-06-20
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Percentage ownership
50
Enrollment id
O20250502001267
Associate id
0840716825
Organization name
670 OH OPCO LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-06-20
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Enrollment id
O20250502001267
Associate id
0840716825
Organization name
670 OH OPCO LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-06-20
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Enrollment id
O20250502001825
Associate id
2769909753
Organization name
600 NORTH BRUSH OPCO LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-06-20
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Percentage ownership
50
Enrollment id
O20250502001825
Associate id
2769909753
Organization name
600 NORTH BRUSH OPCO LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-06-20
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Enrollment id
O20250502001825
Associate id
2769909753
Organization name
600 NORTH BRUSH OPCO LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-06-20
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Enrollment id
O20250630003512
Associate id
3971016247
Organization name
NEWARK OPCO LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-03-24
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN
Percentage ownership
50
Enrollment id
O20250630003512
Associate id
3971016247
Organization name
NEWARK OPCO LLC
Associate id - owner
6103119995
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-24
First name - owner
MATIS
Middle name - owner
MARK
Last name - owner
FRIEDMAN

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