Public record

CMS Skilled Nursing Facility All Owners

Associate id: 5890940514 · 12 matching records

Enrollment id
O20130304000413
Associate id
5890940514
Organization name
BAY VIEW REHABILITATION HOSPITAL LLC
Associate id - owner
3678654977
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2012-11-01
First name - owner
DAVID
Middle name - owner
A
Last name - owner
JOHNSON
Enrollment id
O20130304000413
Associate id
5890940514
Organization name
BAY VIEW REHABILITATION HOSPITAL LLC
Associate id - owner
3678654977
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2012-11-01
First name - owner
DAVID
Middle name - owner
A
Last name - owner
JOHNSON
Percentage ownership
50
Enrollment id
O20130304000413
Associate id
5890940514
Organization name
BAY VIEW REHABILITATION HOSPITAL LLC
Associate id - owner
5496757296
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-01
First name - owner
ANTHONY
Middle name - owner
EDWARD
Last name - owner
ALLEN
Enrollment id
O20130304000413
Associate id
5890940514
Organization name
BAY VIEW REHABILITATION HOSPITAL LLC
Associate id - owner
5496757296
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-01-01
First name - owner
ANTHONY
Middle name - owner
EDWARD
Last name - owner
ALLEN
Enrollment id
O20130304000413
Associate id
5890940514
Organization name
BAY VIEW REHABILITATION HOSPITAL LLC
Associate id - owner
6002978426
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2012-11-01
First name - owner
THOMAS
Middle name - owner
M
Last name - owner
CHAMBERS
Enrollment id
O20130304000413
Associate id
5890940514
Organization name
BAY VIEW REHABILITATION HOSPITAL LLC
Associate id - owner
6002978426
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2012-11-01
First name - owner
THOMAS
Middle name - owner
M
Last name - owner
CHAMBERS
Enrollment id
O20130304000413
Associate id
5890940514
Organization name
BAY VIEW REHABILITATION HOSPITAL LLC
Associate id - owner
6002978426
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2012-11-01
First name - owner
THOMAS
Middle name - owner
M
Last name - owner
CHAMBERS
Percentage ownership
50
Enrollment id
O20130304000413
Associate id
5890940514
Organization name
BAY VIEW REHABILITATION HOSPITAL LLC
Associate id - owner
6204337363
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-05-01
First name - owner
RUSTICO
Middle name - owner
RAYTA
Last name - owner
PUNZALAN
Title - owner
FINANCE OFFICER
Enrollment id
O20130304000413
Associate id
5890940514
Organization name
BAY VIEW REHABILITATION HOSPITAL LLC
Associate id - owner
6204337363
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-05-01
First name - owner
RUSTICO
Middle name - owner
RAYTA
Last name - owner
PUNZALAN
Enrollment id
O20130304000413
Associate id
5890940514
Organization name
BAY VIEW REHABILITATION HOSPITAL LLC
Associate id - owner
6204337363
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-05-01
First name - owner
RUSTICO
Middle name - owner
RAYTA
Last name - owner
PUNZALAN
Enrollment id
O20130304000413
Associate id
5890940514
Organization name
BAY VIEW REHABILITATION HOSPITAL LLC
Associate id - owner
8426020637
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-01
First name - owner
ROLAND
Last name - owner
SANTOS RABAGO
Enrollment id
O20130304000413
Associate id
5890940514
Organization name
BAY VIEW REHABILITATION HOSPITAL LLC
Associate id - owner
8426020637
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-01
First name - owner
ROLAND
Last name - owner
SANTOS RABAGO

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