Public record

CMS Skilled Nursing Facility All Owners

Associate id: 1951396605 · 50 matching records

Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
1052532793
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2012-09-01
Organization name - owner
COUNTY HOSPITAL MANAGER LLC
Address line 1 - owner
240 FENCL LN
City - owner
HILLSIDE
State - owner
IL
Zip code - owner
601622067
Corporation - owner
N
Llc - owner
N
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
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
1557510369
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2012-09-01
First name - owner
MATTHEW
Middle name - owner
L
Last name - owner
HEADLEY
Title - owner
BOARD MEMBER
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
1557510369
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2012-09-01
First name - owner
MATTHEW
Middle name - owner
L
Last name - owner
HEADLEY
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
1951396605
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2012-09-01
Organization name - owner
PUTNAM COUNTY HOSPITAL
Doing business as name - owner
PUTNAM PROMPT CARE
Address line 1 - owner
1542 S BLOOMINGTON ST
City - owner
GREENCASTLE
State - owner
IN
Zip code - owner
461352212
Percentage ownership
100
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
N
Other type - owner
Y
Other type text - owner
INDIANA COUNTY HOSPITAL
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
3870069750
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2026-01-03
First name - owner
DEBRA
Middle name - owner
K
Last name - owner
SILLERY
Title - owner
BOARD MEMBER
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
3870069750
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2026-01-03
First name - owner
DEBRA
Middle name - owner
K
Last name - owner
SILLERY
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
4082673215
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2020-09-01
First name - owner
KEITH
Middle name - owner
P
Last name - owner
LANDRY
Title - owner
BOARD MEMBER
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
4082673215
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2020-09-01
First name - owner
KEITH
Middle name - owner
P
Last name - owner
LANDRY
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
4183630858
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2012-09-01
First name - owner
ARNOLD
Middle name - owner
D
Last name - owner
BRAY
Title - owner
PRESIDENT
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
4183630858
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2012-09-01
First name - owner
ARNOLD
Middle name - owner
D
Last name - owner
BRAY
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
4981742087
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2012-09-01
First name - owner
JANICE
Middle name - owner
M
Last name - owner
FRY
Title - owner
BOARD MEMBER
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
4981742087
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2012-09-01
First name - owner
JANICE
Middle name - owner
M
Last name - owner
FRY
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
5698969780
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-03-20
First name - owner
KATHERINE
Middle name - owner
R
Last name - owner
SEIBEL
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
5698969780
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2013-03-20
First name - owner
KATHERINE
Middle name - owner
R
Last name - owner
SEIBEL
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
6608880323
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2012-09-01
First name - owner
DENNIS
Middle name - owner
A
Last name - owner
WEATHERFORD
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
6608880323
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2012-09-18
First name - owner
DENNIS
Middle name - owner
A
Last name - owner
WEATHERFORD
Title - owner
CEO
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
7618405168
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-05-20
First name - owner
WENDELL
Last name - owner
UNDERWOOD
Title - owner
BOARD MEMBER
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
7618405168
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2024-05-20
First name - owner
WENDELL
Last name - owner
UNDERWOOD
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
8123283561
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-03-01
First name - owner
KIRAN
Middle name - owner
K
Last name - owner
BURLA
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
8123283561
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-03-01
First name - owner
KIRAN
Middle name - owner
K
Last name - owner
BURLA
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
8527596071
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-08-05
First name - owner
MARK
Last name - owner
WOOD
Title - owner
BOARD MEMBER
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
8527596071
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2024-08-05
First name - owner
MARK
Last name - owner
WOOD
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
9739551045
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2022-12-21
First name - owner
KATRINA
Middle name - owner
ANN
Last name - owner
LEWIS
Title - owner
BOARD MEMBER
Enrollment id
O20121010000348
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
9739551045
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2022-12-21
First name - owner
KATRINA
Middle name - owner
ANN
Last name - owner
LEWIS
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
0648553271
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-07-25
First name - owner
MANDY
Middle name - owner
K
Last name - owner
LYNCH
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
0648553271
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-07-25
First name - owner
MANDY
Middle name - owner
K
Last name - owner
LYNCH
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
1557510369
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2012-09-01
First name - owner
MATTHEW
Middle name - owner
L
Last name - owner
HEADLEY
Title - owner
BOARD MEMBER
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
1557510369
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2012-09-01
First name - owner
MATTHEW
Middle name - owner
L
Last name - owner
HEADLEY
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
1951396605
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2013-12-01
Organization name - owner
PUTNAM COUNTY HOSPITAL
Doing business as name - owner
PUTNAM PROMPT CARE
Address line 1 - owner
1542 S BLOOMINGTON ST
City - owner
GREENCASTLE
State - owner
IN
Zip code - owner
461352212
Percentage ownership
100
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
N
Other type - owner
Y
Other type text - owner
INDIANA COUNTY HOSPITAL
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
2567549827
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-09-01
Organization name - owner
SISTERS OF PROVIDENCE
Address line 1 - owner
1 SISTERS OF PROVIDENCE
City - owner
SAINT MARY OF THE WOODS
State - owner
IN
Zip code - owner
478761002
Corporation - owner
Y
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
N
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
2567973027
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-04-30
First name - owner
CHRISTINE
Last name - owner
HOLLOWELL
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
2860545142
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-05-02
First name - owner
KENNETH
Middle name - owner
M
Last name - owner
KIGORWE
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
2860545142
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-05-02
First name - owner
KENNETH
Middle name - owner
M
Last name - owner
KIGORWE
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
2961591870
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-12-01
First name - owner
DENNIS
Middle name - owner
D
Last name - owner
O'HAIR
Title - owner
MEMBER
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
2961913330
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-04-29
First name - owner
MICHELLE
Last name - owner
RODGERS
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
3072024520
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-04-22
First name - owner
LAURA
Last name - owner
PARKER
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
3870069750
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2026-01-03
First name - owner
DEBRA
Middle name - owner
K
Last name - owner
SILLERY
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
3870069750
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2026-01-03
First name - owner
DEBRA
Middle name - owner
K
Last name - owner
SILLERY
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
4082673215
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2020-09-01
First name - owner
KEITH
Middle name - owner
P
Last name - owner
LANDRY
Title - owner
BOARD MEMBER
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
4082673215
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2020-09-01
First name - owner
KEITH
Middle name - owner
P
Last name - owner
LANDRY
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
4183630858
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2012-09-01
First name - owner
ARNOLD
Middle name - owner
D
Last name - owner
BRAY
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
4183630858
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2012-09-01
First name - owner
ARNOLD
Middle name - owner
D
Last name - owner
BRAY
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
4688566250
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-04-21
First name - owner
JOHN
Middle name - owner
C
Last name - owner
WELCH
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
4789195249
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-04-30
First name - owner
MARY BETH
Last name - owner
KLINGEL
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
4981742087
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2012-09-01
First name - owner
JANICE
Middle name - owner
M
Last name - owner
FRY
Title - owner
BOARD MEMBER
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
4981742087
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2012-09-01
First name - owner
JANICE
Middle name - owner
M
Last name - owner
FRY
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
5799081535
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-01-01
First name - owner
ROBERT
Middle name - owner
N
Last name - owner
MANN
Title - owner
VICE PRESIDENT
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
6507377058
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-11-16
First name - owner
DENISE
Last name - owner
WILKINSON
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
6608387154
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-01-30
First name - owner
MARCIA
Last name - owner
MILLER
Enrollment id
O20140225000004
Associate id
1951396605
Organization name
PUTNAM COUNTY HOSPITAL
Associate id - owner
6608880323
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2012-09-18
First name - owner
DENNIS
Middle name - owner
A
Last name - owner
WEATHERFORD

Showing the first 50 matching records.

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