Public record

CMS Skilled Nursing Facility All Owners

Associate id: 5294642872 · 10 matching records

Enrollment id
O20021010000039
Associate id
5294642872
Organization name
LAKE ANDES HEALTH CARE CENTER, INC.
Associate id - owner
0648218628
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-10-01
Organization name - owner
AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC
Doing business as name - owner
ACCURA HEALTHCARE MANAGEMENT SERVICES
Address line 1 - owner
4344 CORPORATE DR
City - owner
WEST DES MOINES
State - owner
IA
Zip code - owner
502665907
Percentage ownership
100
Corporation - owner
N
Llc - owner
Y
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
O20021010000039
Associate id
5294642872
Organization name
LAKE ANDES HEALTH CARE CENTER, INC.
Associate id - owner
0749604577
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-03-13
First name - owner
PAUL
Middle name - owner
D
Last name - owner
BERNDT
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20021010000039
Associate id
5294642872
Organization name
LAKE ANDES HEALTH CARE CENTER, INC.
Associate id - owner
1254779085
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-01-01
First name - owner
MOLLY
Last name - owner
WRIGHT
Title - owner
ADMINISTRATOR
Enrollment id
O20021010000039
Associate id
5294642872
Organization name
LAKE ANDES HEALTH CARE CENTER, INC.
Associate id - owner
1355348905
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-10-01
First name - owner
TED
Middle name - owner
A
Last name - owner
LENEAVE
Title - owner
CEO
Enrollment id
O20021010000039
Associate id
5294642872
Organization name
LAKE ANDES HEALTH CARE CENTER, INC.
Associate id - owner
1355348905
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-10-01
First name - owner
TED
Middle name - owner
A
Last name - owner
LENEAVE
Title - owner
PRESIDENT
Enrollment id
O20021010000039
Associate id
5294642872
Organization name
LAKE ANDES HEALTH CARE CENTER, INC.
Associate id - owner
3971671603
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-08-29
First name - owner
GAIL
Last name - owner
SHERIDAN
Title - owner
CHIEF CLINICAL OPERATIONS OFFICER
Percentage ownership
50
Enrollment id
O20021010000039
Associate id
5294642872
Organization name
LAKE ANDES HEALTH CARE CENTER, INC.
Associate id - owner
3971671603
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2008-08-29
First name - owner
GAIL
Last name - owner
SHERIDAN
Title - owner
CHIEF CLINICAL OPERATIONS OFFICER
Enrollment id
O20021010000039
Associate id
5294642872
Organization name
LAKE ANDES HEALTH CARE CENTER, INC.
Associate id - owner
7810144144
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2012-01-01
Organization name - owner
TEALWOOD ENTERPRISE INC
Address line 1 - owner
7400 W 109TH ST
City - owner
BLOOMINGTON
State - owner
MN
Zip code - owner
554382374
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
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
Enrollment id
O20021010000039
Associate id
5294642872
Organization name
LAKE ANDES HEALTH CARE CENTER, INC.
Associate id - owner
9638171622
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-09-03
First name - owner
HOWARD
Middle name - owner
A
Last name - owner
GROFF
Title - owner
PRESIDENT
Percentage ownership
50
Enrollment id
O20021010000039
Associate id
5294642872
Organization name
LAKE ANDES HEALTH CARE CENTER, INC.
Associate id - owner
9638171622
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2008-09-03
First name - owner
HOWARD
Middle name - owner
A
Last name - owner
GROFF
Title - owner
PRESIDENT

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