Public record

CMS Skilled Nursing Facility All Owners

Associate id: 0244246916 · 32 matching records

Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
0143236810
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-01
First name - owner
MELISSA
Last name - owner
JOHNSON
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
0345755211
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Address line 1 - owner
5727 S LEWIS AVE
Address line 2 - owner
STE 800
City - owner
TULSA
State - owner
OK
Zip code - owner
741057149
Corporation - owner
N
Llc - owner
N
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
1052826930
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Address line 1 - owner
3808 NW MARQUESS DR
City - owner
BENTONVILLE
State - owner
AR
Zip code - owner
727124370
Corporation - owner
N
Llc - owner
N
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
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
Y
Other type text - owner
TRUST
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
1153836036
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Address line 1 - owner
3 MOUNT VERNON DR
City - owner
GALES FERRY
State - owner
CT
Zip code - owner
063351925
Corporation - owner
N
Llc - owner
N
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
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
Y
Other type text - owner
TRUST
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
1254846124
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Address line 1 - owner
PO BOX 311
City - owner
LANGLEY
State - owner
OK
Zip code - owner
743500311
Corporation - owner
N
Llc - owner
N
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
1355713926
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-01-01
Organization name - owner
STEVEN R. TUBBS REVOCABLE TRUST
Address line 1 - owner
P O BOX 856
City - owner
MIAMI
State - owner
OK
Zip code - owner
743550856
Percentage ownership
14
Corporation - owner
N
Llc - owner
N
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
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
Y
Other type text - owner
TRUST
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
1850203522
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2005-01-11
First name - owner
BARNIE
Middle name - owner
JOE
Last name - owner
CHEEK
Percentage ownership
8.31
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
1850806738
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-01
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
1951816834
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
2163937046
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Address line 1 - owner
30820 S 596 LN
City - owner
GROVE
State - owner
OK
Zip code - owner
743447958
Corporation - owner
N
Llc - owner
N
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
4688586357
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-02-08
First name - owner
LLOYD
Middle name - owner
WAYNE
Last name - owner
HASKINS
Percentage ownership
5.83
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
5395818736
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2005-03-05
First name - owner
JUSTIN
Middle name - owner
W
Last name - owner
MCGREW
Percentage ownership
5.55
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
5395818736
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-01
First name - owner
JUSTIN
Middle name - owner
W
Last name - owner
MCGREW
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
5496760183
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2005-11-01
Organization name - owner
SANDRA CHEEK FARMER TRUST
Address line 1 - owner
7307 E 91ST PL
City - owner
TULSA
State - owner
OK
Zip code - owner
741336025
Percentage ownership
8.31
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
5496760183
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Organization name - owner
SANDRA CHEEK FARMER TRUST
Address line 1 - owner
7307 E 91ST PL
City - owner
TULSA
State - owner
OK
Zip code - owner
741336025
Corporation - owner
N
Llc - owner
N
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
5597270470
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
5890200760
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Address line 1 - owner
12760 BALLENTINE ST
City - owner
OVERLAND PARK
State - owner
KS
Zip code - owner
662133429
Corporation - owner
N
Llc - owner
N
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
5890200778
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Address line 1 - owner
462487 E 1040 RD
City - owner
SALLISAW
State - owner
OK
Zip code - owner
749555111
Corporation - owner
N
Llc - owner
N
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
5991210866
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Address line 1 - owner
621 N ROBINSON AVE
Address line 2 - owner
STE 100
City - owner
OKLAHOMA CITY
State - owner
OK
Zip code - owner
731026229
Corporation - owner
N
Llc - owner
N
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
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
Y
Other type text - owner
TRUST
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
6406361385
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
6608018031
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Organization name - owner
CAROLYN D LEAVERTON REVOCABLE TRUST
Address line 1 - owner
3206 S 215TH EAST AVE
City - owner
BROKEN ARROW
State - owner
OK
Zip code - owner
740141137
Corporation - owner
N
Llc - owner
N
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
6709391675
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Address line 1 - owner
PO BOX 417
City - owner
LANGLEY
State - owner
OK
Zip code - owner
743500417
Corporation - owner
N
Llc - owner
N
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
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
Y
Other type text - owner
TRUST
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
6709391683
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Address line 1 - owner
11142 S 55TH WEST AVE
City - owner
SAPULPA
State - owner
OK
Zip code - owner
740669386
Corporation - owner
N
Llc - owner
N
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
7214442193
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
7214442193
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-06-13
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
7517127475
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-01-01
First name - owner
PATSY
Last name - owner
ESTEP
Percentage ownership
5.5
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
7618482597
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Address line 1 - owner
2052 W BRECKENRIDGE AVE
City - owner
SALLISAW
State - owner
OK
Zip code - owner
749557611
Corporation - owner
N
Llc - owner
N
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
8123533007
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-01
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
8527573401
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Address line 1 - owner
PO BOX 1397
City - owner
WALDRON
State - owner
AR
Zip code - owner
729581397
Corporation - owner
N
Llc - owner
N
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
8527573492
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Address line 1 - owner
501 S 10TH AVE
City - owner
STROUD
State - owner
OK
Zip code - owner
740796706
Corporation - owner
N
Llc - owner
N
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
9032624911
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-01
Enrollment id
O20060306000077
Associate id
0244246916
Organization name
SKIATOOK NURSING HOME LLC
Associate id - owner
9436664307
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2025-01-01
Address line 1 - owner
1413 E RENO ST
City - owner
BROKEN ARROW
State - owner
OK
Zip code - owner
740129380
Corporation - owner
N
Llc - owner
N
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
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
Y
Other type text - owner
TRUST

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