Public record

CMS Skilled Nursing Facility All Owners

Associate id: 6002919503 · 18 matching records

Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
0941221907
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-03-27
First name - owner
JARED
Middle name - owner
A
Last name - owner
SHEETS
Title - owner
BOARD MEMBER
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
1759463169
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-01-01
First name - owner
GERALD
Last name - owner
ROACH
Title - owner
CHAIRMAN OF THE BOARD
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
1759463177
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-10-17
First name - owner
PAUL
Last name - owner
REED
Title - owner
BOARD MEMBER
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
2062793524
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-12-01
First name - owner
ROBERT
Middle name - owner
WADE
Last name - owner
PUGH
Title - owner
BOARD MEMBER
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
3577783497
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-07-14
First name - owner
LORI
Last name - owner
HARRISON
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
4183967169
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
SHANA
Middle name - owner
R
Last name - owner
BOOHER
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
4688581671
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-01-01
First name - owner
BRENT
Last name - owner
SAUNDERS
Title - owner
BOARD MEMBER
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
5991774069
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
RODNEY
Middle name - owner
BARRY
Last name - owner
STOUT
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
6507948155
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-10-17
First name - owner
ROBERT
Last name - owner
GRILLO
Title - owner
BOARD MEMBER
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
7012912173
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-03-27
First name - owner
DANIELLE
Middle name - owner
THERESA
Last name - owner
CAPPELLETTI
Title - owner
BOARD MEMBER
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
7517936461
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-03-27
First name - owner
PHILLIP
Middle name - owner
B
Last name - owner
LONG
Title - owner
BOARD MEMBER
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
8325120975
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2009-10-21
First name - owner
LARRY
Last name - owner
KIDD
Title - owner
BOARD MEMBER
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
8628039062
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-01-01
First name - owner
MICHAEL
Middle name - owner
R
Last name - owner
CANADY
Title - owner
BOARD MEMBER
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
9133211295
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1995-03-29
Organization name - owner
HOLZER HEALTH SYSTEM
Doing business as name - owner
HOLZER HEALTH SYSTEMS
Address line 1 - owner
100 JACKSON PIKE
City - owner
GALLIPOLIS
State - owner
OH
Zip code - owner
456311560
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
Y
Owned by another org or ind - owner
N
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
9133211295
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-23
Organization name - owner
HOLZER HEALTH SYSTEM
Doing business as name - owner
HOLZER HEALTH SYSTEMS
Address line 1 - owner
100 JACKSON PIKE
City - owner
GALLIPOLIS
State - owner
OH
Zip code - owner
456311560
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
9234460817
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-01-01
First name - owner
MICHAEL
Last name - owner
HAYNES
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
9436128592
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
NICOLETTE
Middle name - owner
M
Last name - owner
JONES
Title - owner
CHIEF MEDICAL OFFICER
Enrollment id
O20070321000000
Associate id
6002919503
Organization name
HOLZER SENIOR CARE CENTER
Associate id - owner
9830420017
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
TOM
Last name - owner
WISEMAN
Title - owner
BOARD MEMBER

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