Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 6608310396 · 10 matching records

Enrollment id: O20240705001654
Associate id: 9335683028
Organization name: LAS CRUCES WELLNESS & REHABILITATION LLC
Associate id - owner: 6608310396
Type - owner: I
Role code - owner: 71
Role text - owner: TRUSTEE OF THE SNF
Association date - owner: 2024-05-01
First name - owner: NIV
Last name - owner: DAVIDOVICH

Enrollment id: O20240821003062
Associate id: 7911445978
Organization name: MAPLE GROVE WELLNESS & REHABILITATION LLC
Associate id - owner: 6608310396
Type - owner: I
Role code - owner: 71
Role text - owner: TRUSTEE OF THE SNF
Association date - owner: 2024-07-01
First name - owner: NIV
Last name - owner: DAVIDOVICH

Enrollment id: O20240924000277
Associate id: 8729529334
Organization name: SAGE NURSING & REHAB LLC
Associate id - owner: 6608310396
Type - owner: I
Role code - owner: 71
Role text - owner: TRUSTEE OF THE SNF
Association date - owner: 2024-05-01
First name - owner: NIV
Last name - owner: DAVIDOVICH

Enrollment id: O20241031000487
Associate id: 9537692447
Organization name: BLOOMING OAKS WELLNESS & REHABILITATION LLC
Associate id - owner: 6608310396
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2024-07-30
First name - owner: NIV
Last name - owner: DAVIDOVICH
Title - owner: TRUSTEE OF DERHOBEN TRUST
Percentage ownership: 0

Enrollment id: O20241220003495
Associate id: 9537696091
Organization name: BETTY DARE WELLNESS & REHABILITATION LLC
Associate id - owner: 6608310396
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2024-11-01
First name - owner: NIV
Last name - owner: DAVIDOVICH
Title - owner: TRUSTEE OF CERULEAN TRUST
Percentage ownership: 0

Enrollment id: O20250214002101
Associate id: 2860922168
Organization name: WILLOWCREEK WELLNESS & REHABILITATION LLC
Associate id - owner: 6608310396
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2024-07-30
First name - owner: NIV
Last name - owner: DAVIDOVICH
Title - owner: TRUSTEE OF DERHOBEN TRUST
Percentage ownership: 0

Enrollment id: O20250304000887
Associate id: 0143741496
Organization name: BLUE SPRINGS WELLNESS & REHABILITATION LLC
Associate id - owner: 6608310396
Type - owner: I
Role code - owner: 71
Role text - owner: TRUSTEE OF THE SNF
Association date - owner: 2024-12-02
First name - owner: NIV
Last name - owner: DAVIDOVICH

Enrollment id: O20250604001377
Associate id: 8527577147
Organization name: PINE GROVE MANOR LLC
Associate id - owner: 6608310396
Type - owner: I
Role code - owner: 71
Role text - owner: TRUSTEE OF THE SNF
Association date - owner: 2025-05-01
First name - owner: NIV
Last name - owner: DAVIDOVICH

Enrollment id: O20250805002403
Associate id: 2567972532
Organization name: MONARCH SPRINGS WELLNESS & REHABILITATION LLC
Associate id - owner: 6608310396
Type - owner: I
Role code - owner: 71
Role text - owner: TRUSTEE OF THE SNF
Association date - owner: 2025-05-01
First name - owner: NIV
Last name - owner: DAVIDOVICH

Enrollment id: O20260513001030
Associate id: 9537638143
Organization name: COUNTRY VILLA WELLNESS & REHABILITATION LLC
Associate id - owner: 6608310396
Type - owner: I
Role code - owner: 71
Role text - owner: TRUSTEE OF THE SNF
Association date - owner: 2026-02-01
First name - owner: NIV
Last name - owner: DAVIDOVICH

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