[{"ENROLLMENT ID":"O20210302000824","ASSOCIATE ID":"8527474402","ORGANIZATION NAME":"GREAT BEND SNF, LLC","ASSOCIATE ID - OWNER":"1254626948","TYPE - OWNER":"O","ROLE CODE - OWNER":"35","ROLE TEXT - OWNER":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","ASSOCIATION DATE - OWNER":"2021-02-01","FIRST NAME - OWNER":"","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"AZRIA VENTURES LLC","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"702 S HIGHWAY 6","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"GRETNA","STATE - OWNER":"NE","ZIP CODE - OWNER":"680287970","PERCENTAGE OWNERSHIP":"100","CREATED FOR ACQUISITION - OWNER":"N","CORPORATION - OWNER":"N","LLC - OWNER":"Y","MEDICAL PROVIDER SUPPLIER - OWNER":"N","MANAGEMENT SERVICES COMPANY - OWNER":"N","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","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20210302000824","ASSOCIATE ID":"8527474402","ORGANIZATION NAME":"GREAT BEND SNF, LLC","ASSOCIATE ID - OWNER":"1254626948","TYPE - OWNER":"O","ROLE CODE - OWNER":"43","ROLE TEXT - OWNER":"OPERATIONAL\/MANAGERIAL CONTROL","ASSOCIATION DATE - OWNER":"2021-02-01","FIRST NAME - OWNER":"","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"AZRIA VENTURES LLC","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"702 S HIGHWAY 6","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"GRETNA","STATE - OWNER":"NE","ZIP CODE - OWNER":"680287970","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"N","LLC - OWNER":"Y","MEDICAL PROVIDER SUPPLIER - OWNER":"N","MANAGEMENT SERVICES COMPANY - OWNER":"N","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","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20210512001931","ASSOCIATE ID":"6608285127","ORGANIZATION NAME":"DT WOODBINE, LLC","ASSOCIATE ID - OWNER":"1254626948","TYPE - OWNER":"O","ROLE CODE - OWNER":"35","ROLE TEXT - OWNER":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","ASSOCIATION DATE - OWNER":"2021-04-01","FIRST NAME - OWNER":"","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"AZRIA VENTURES LLC","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"702 S HIGHWAY 6","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"GRETNA","STATE - OWNER":"NE","ZIP CODE - OWNER":"680287970","PERCENTAGE OWNERSHIP":"100","CREATED FOR ACQUISITION - OWNER":"N","CORPORATION - OWNER":"N","LLC - OWNER":"Y","MEDICAL PROVIDER SUPPLIER - OWNER":"N","MANAGEMENT SERVICES COMPANY - OWNER":"N","MEDICAL STAFFING COMPANY - OWNER":"N","HOLDING COMPANY - OWNER":"Y","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","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20210512002476","ASSOCIATE ID":"6406265933","ORGANIZATION NAME":"DT VALLEY LLC","ASSOCIATE ID - OWNER":"1254626948","TYPE - OWNER":"O","ROLE CODE - OWNER":"35","ROLE TEXT - OWNER":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","ASSOCIATION DATE - OWNER":"2021-04-01","FIRST NAME - OWNER":"","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"AZRIA VENTURES LLC","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"702 S HIGHWAY 6","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"GRETNA","STATE - OWNER":"NE","ZIP CODE - OWNER":"680287970","PERCENTAGE OWNERSHIP":"100","CREATED FOR ACQUISITION - OWNER":"N","CORPORATION - OWNER":"N","LLC - OWNER":"Y","MEDICAL PROVIDER SUPPLIER - OWNER":"N","MANAGEMENT SERVICES COMPANY - OWNER":"N","MEDICAL STAFFING COMPANY - OWNER":"N","HOLDING COMPANY - OWNER":"Y","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","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""}]