Public record

CMS Skilled Nursing Facility All Owners

Associate id: 0941382485 · 21 matching records

Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
0143384263
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-12-01
First name - owner
WILLIAM
Last name - owner
GORMLEY
Title - owner
BOARD MEMBER
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
0941460281
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-01-01
First name - owner
TARA
Middle name - owner
A.
Last name - owner
CORTES
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
1850781873
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-01-01
First name - owner
DAVID
Last name - owner
WAGNER
Title - owner
CEO
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
1850781873
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
DAVID
Last name - owner
WAGNER
Title - owner
CEO
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
3072654045
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-12-01
First name - owner
ARTHUR
Last name - owner
GOSHIN
Title - owner
BOARD MEMBER
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
3577645613
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2008-01-01
First name - owner
ROCCO
Last name - owner
MELIAMBRO
Title - owner
VP OF FINANCE
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
3779970959
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-01-01
First name - owner
LOYOLA
Last name - owner
PRINCIVIL-BARNETT
Title - owner
COO MJHS CENTERS FOR REHABILITAT
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
3870675911
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-01-01
First name - owner
MARK
Last name - owner
LIPTON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
4284021445
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-03-21
First name - owner
ANCA
Last name - owner
ADAMS
Title - owner
ASSOCIATE GENERAL COUNSEL
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
4688756729
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1999-05-01
First name - owner
ANN
Last name - owner
WYATT
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
4789593997
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-12-01
First name - owner
JEFFREY
Middle name - owner
J
Last name - owner
DAVIS
Title - owner
CFO
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
4789593997
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-12-01
First name - owner
JEFFREY
Middle name - owner
J
Last name - owner
DAVIS
Title - owner
CFO
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
5597048959
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-01-20
First name - owner
CAROL
Last name - owner
WEATHERLY
Title - owner
AVP REGULATORY COMPLIANCE
Percentage ownership
0
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
5991944944
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-01-01
First name - owner
IRWIN
Middle name - owner
J
Last name - owner
TALBOT
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
6103189998
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-01-23
First name - owner
RIA
Middle name - owner
M
Last name - owner
ANTHONY
Title - owner
SYSTEMS ANALYST
Percentage ownership
0
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
6406246420
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-01-01
First name - owner
DAVID
Last name - owner
KOSCHITZKI
Title - owner
CFO
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
6406938547
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1996-01-01
First name - owner
RICHARD
Last name - owner
HARDING
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
6507775715
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-12-01
First name - owner
ALEXANDER
Middle name - owner
S
Last name - owner
BALKO
Title - owner
CEO, PRESIDENT
Percentage ownership
0
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
6507775715
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-12-01
First name - owner
ALEXANDER
Middle name - owner
S
Last name - owner
BALKO
Title - owner
CEO, PRESIDENT
Percentage ownership
0
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
6507922168
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-01-01
First name - owner
HILA
Last name - owner
RICHARDSON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20091204000000
Associate id
0941382485
Organization name
ISABELLA GERIATRIC CENTER, INC.
Associate id - owner
9032492491
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-01-20
First name - owner
RENATO
Middle name - owner
D
Last name - owner
LEONEL
Title - owner
DIRECTOR, INFORMATION TECHNOLOGY
Percentage ownership
0

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