Public record

CMS Skilled Nursing Facility All Owners

Associate id: 3870685563 · 7 matching records

Enrollment id
O20070827000214
Associate id
3870685563
Organization name
CLAIBORNE COUNTY SENIOR CARE LLC
Associate id - owner
1658602685
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-24
First name - owner
LORI
Last name - owner
WARNOCK
Enrollment id
O20070827000214
Associate id
3870685563
Organization name
CLAIBORNE COUNTY SENIOR CARE LLC
Associate id - owner
1658602685
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-01-24
First name - owner
LORI
Last name - owner
WARNOCK
Enrollment id
O20070827000214
Associate id
3870685563
Organization name
CLAIBORNE COUNTY SENIOR CARE LLC
Associate id - owner
3375053101
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-11
Enrollment id
O20070827000214
Associate id
3870685563
Organization name
CLAIBORNE COUNTY SENIOR CARE LLC
Associate id - owner
3870685563
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2012-11-01
Organization name - owner
CLAIBORNE COUNTY SENIOR CARE LLC
Address line 1 - owner
2124 OLD HIGHWAY 61 S
City - owner
PORT GIBSON
State - owner
MS
Zip code - owner
391502589
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
O20070827000214
Associate id
3870685563
Organization name
CLAIBORNE COUNTY SENIOR CARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2007-08-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20070827000214
Associate id
3870685563
Organization name
CLAIBORNE COUNTY SENIOR CARE LLC
Associate id - owner
3971574526
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2000-08-01
First name - owner
CHARLES
Middle name - owner
B
Last name - owner
KELLY
Enrollment id
O20070827000214
Associate id
3870685563
Organization name
CLAIBORNE COUNTY SENIOR CARE LLC
Associate id - owner
5193235927
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2012-11-01

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