Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 6608787908 · 29 matching records

Enrollment id
O20030729000018
Associate id
6608787478
Organization name
INTEGRATED HEALTH RESOURCES, LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2001-09-30
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Percentage ownership
10
Enrollment id
O20030729000018
Associate id
6608787478
Organization name
INTEGRATED HEALTH RESOURCES, LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2001-09-30
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Enrollment id
O20030729000018
Associate id
6608787478
Organization name
INTEGRATED HEALTH RESOURCES, LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2001-09-30
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Enrollment id
O20030729000018
Associate id
6608787478
Organization name
INTEGRATED HEALTH RESOURCES, LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2001-09-30
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Percentage ownership
10
Enrollment id
O20040526000564
Associate id
0749261741
Organization name
GARDEN ISLE HEALTHCARE, LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2003-12-23
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Percentage ownership
10
Enrollment id
O20040526000564
Associate id
0749261741
Organization name
GARDEN ISLE HEALTHCARE, LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2003-12-23
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Enrollment id
O20040526000564
Associate id
0749261741
Organization name
GARDEN ISLE HEALTHCARE, LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2003-12-23
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Enrollment id
O20040526000564
Associate id
0749261741
Organization name
GARDEN ISLE HEALTHCARE, LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2003-12-23
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Percentage ownership
10
Enrollment id
O20061017000572
Associate id
3779536537
Organization name
HALE MAKUA HEALTH SERVICES
Associate id - owner
6608787908
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Title - owner
DIRECTOR
Enrollment id
O20110323000349
Associate id
7315120755
Organization name
HALE KUPUNA HERITAGE HOME, LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2009-11-12
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Percentage ownership
10
Enrollment id
O20110323000349
Associate id
7315120755
Organization name
HALE KUPUNA HERITAGE HOME, LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2009-11-12
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Enrollment id
O20110323000349
Associate id
7315120755
Organization name
HALE KUPUNA HERITAGE HOME, LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2009-11-12
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2014-12-15
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Percentage ownership
10
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-12-15
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-12-15
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2014-12-15
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Percentage ownership
10
Enrollment id
O20160105002983
Associate id
3779536537
Organization name
HALE MAKUA HEALTH SERVICES
Associate id - owner
6608787908
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Title - owner
DIRECTOR
Enrollment id
O20170207002282
Associate id
8224311717
Organization name
ANN PEARL CARE HOME INC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
1999-01-01
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Percentage ownership
10
Enrollment id
O20170207002282
Associate id
8224311717
Organization name
ANN PEARL CARE HOME INC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
1999-01-01
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Title - owner
PRESIDENT
Enrollment id
O20170207002282
Associate id
8224311717
Organization name
ANN PEARL CARE HOME INC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1999-01-01
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Title - owner
CHAIRMAN OF THE BOARD
Enrollment id
O20170207002282
Associate id
8224311717
Organization name
ANN PEARL CARE HOME INC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
1999-01-01
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Enrollment id
O20170207002282
Associate id
8224311717
Organization name
ANN PEARL CARE HOME INC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
1999-01-01
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Enrollment id
O20200207000789
Associate id
5991131120
Organization name
HILO SNF LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-01-01
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Percentage ownership
10
Enrollment id
O20200207000789
Associate id
5991131120
Organization name
HILO SNF LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-09-04
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Title - owner
PRESIDENT
Percentage ownership
100
Enrollment id
O20200207000789
Associate id
5991131120
Organization name
HILO SNF LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-01-01
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Enrollment id
O20200207000789
Associate id
5991131120
Organization name
HILO SNF LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2020-01-01
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Enrollment id
O20200207000789
Associate id
5991131120
Organization name
HILO SNF LLC
Associate id - owner
6608787908
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-01-01
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Percentage ownership
10
Enrollment id
O20250401003512
Associate id
2860915675
Organization name
DANIEL K AKAKA STATE VETERANS HOME
Associate id - owner
6608787908
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-11-01
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA
Enrollment id
O20250401003512
Associate id
2860915675
Organization name
DANIEL K AKAKA STATE VETERANS HOME
Associate id - owner
6608787908
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-11-01
First name - owner
RICHARD
Middle name - owner
S
Last name - owner
KISHABA

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