Public record

CMS Skilled Nursing Facility All Owners

Associate id: 9032191259 · 6 matching records

Enrollment id
O20070419000206
Associate id
9032191259
Organization name
CLOVE LAKES HEALTH CARE AND REHABILITATION CENTER INC.
Associate id - owner
0648494286
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-02-01
First name - owner
SOLOMON
Last name - owner
KLEIN
Title - owner
PRESIDENT
Percentage ownership
9.9
Enrollment id
O20070419000206
Associate id
9032191259
Organization name
CLOVE LAKES HEALTH CARE AND REHABILITATION CENTER INC.
Associate id - owner
0840622239
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2012-06-15
First name - owner
LORRI
Middle name - owner
ANN
Last name - owner
SENK
Title - owner
ADMINISTRATOR
Percentage ownership
0
Enrollment id
O20070419000206
Associate id
9032191259
Organization name
CLOVE LAKES HEALTH CARE AND REHABILITATION CENTER INC.
Associate id - owner
3577668516
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2017-02-15
First name - owner
MICHAEL
Last name - owner
DEMISAY
Title - owner
EXECUTIVE DIRECTOR
Percentage ownership
10
Enrollment id
O20070419000206
Associate id
9032191259
Organization name
CLOVE LAKES HEALTH CARE AND REHABILITATION CENTER INC.
Associate id - owner
3577668516
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1997-06-20
First name - owner
MICHAEL
Last name - owner
DEMISAY
Enrollment id
O20070419000206
Associate id
9032191259
Organization name
CLOVE LAKES HEALTH CARE AND REHABILITATION CENTER INC.
Associate id - owner
8325020548
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2017-02-15
First name - owner
HELENE
Middle name - owner
A
Last name - owner
DEMISAY
Title - owner
CHIEF EXECUTIVE OFFICER
Percentage ownership
70.1
Enrollment id
O20070419000206
Associate id
9032191259
Organization name
CLOVE LAKES HEALTH CARE AND REHABILITATION CENTER INC.
Associate id - owner
8729184148
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2017-02-15
First name - owner
BERNADETTE
Last name - owner
DEMISAY
Title - owner
SECRETARY OF BOARD
Percentage ownership
10

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