Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 7618485558 · 6 matching records

Enrollment id
O20070619000471
Associate id
2264531037
Organization name
SENIOR CARE FOREST LAKE, LLC
Associate id - owner
7618485558
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-06-30
Organization name - owner
LIFESPARK MANAGEMENT SERVICES
Address line 1 - owner
5320 W 23RD ST
Address line 2 - owner
STE 130
City - owner
ST LOUIS PARK
State - owner
MN
Zip code - owner
554161670
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
Y
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20070619000471
Associate id
2264531037
Organization name
SENIOR CARE FOREST LAKE, LLC
Associate id - owner
7618485558
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-09
Organization name - owner
LIFESPARK MANAGEMENT SERVICES
Address line 1 - owner
5320 W 23RD ST
Address line 2 - owner
STE 130
City - owner
ST LOUIS PARK
State - owner
MN
Zip code - owner
554161670
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
Y
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20070619000518
Associate id
9931208709
Organization name
SENIOR CARE WOODBURY, LLC
Associate id - owner
7618485558
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-06-30
Organization name - owner
LIFESPARK MANAGEMENT SERVICES
Address line 1 - owner
5320 W 23RD ST
Address line 2 - owner
STE 130
City - owner
ST LOUIS PARK
State - owner
MN
Zip code - owner
554161670
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
Y
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20070619000518
Associate id
9931208709
Organization name
SENIOR CARE WOODBURY, LLC
Associate id - owner
7618485558
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-07
Organization name - owner
LIFESPARK MANAGEMENT SERVICES
Address line 1 - owner
5320 W 23RD ST
Address line 2 - owner
STE 130
City - owner
ST LOUIS PARK
State - owner
MN
Zip code - owner
554161670
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
Y
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20080206000538
Associate id
4385732841
Organization name
SENIOR CARE PROVIDENCE, LLC
Associate id - owner
7618485558
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-06-30
Organization name - owner
LIFESPARK MANAGEMENT SERVICES
Address line 1 - owner
5320 W 23RD ST
Address line 2 - owner
STE 130
City - owner
ST LOUIS PARK
State - owner
MN
Zip code - owner
554161670
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
Y
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20080206000538
Associate id
4385732841
Organization name
SENIOR CARE PROVIDENCE, LLC
Associate id - owner
7618485558
Type - owner
O
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-06-30
Organization name - owner
LIFESPARK MANAGEMENT SERVICES
Address line 1 - owner
5320 W 23RD ST
Address line 2 - owner
STE 130
City - owner
ST LOUIS PARK
State - owner
MN
Zip code - owner
554161670
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
Y
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
Y
Owned by another org or ind - owner
Y

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list