Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 0042675225 · 6 matching records

Enrollment id
O20170925000698
Associate id
4082988480
Organization name
SANTA CRUZIDENCE OPCO, LLC
Associate id - owner
0042675225
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-08-10
First name - owner
BRANDON
Last name - owner
WARR
Title - owner
AD;
Enrollment id
O20170925000698
Associate id
4082988480
Organization name
SANTA CRUZIDENCE OPCO, LLC
Associate id - owner
0042675225
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-10
First name - owner
BRANDON
Last name - owner
WARR
Title - owner
ADMINISTRATOR
Enrollment id
O20230421000785
Associate id
4880059062
Organization name
PALOMAR HEIGHTS HEALTHCARE, LLC
Associate id - owner
0042675225
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-08-01
First name - owner
BRANDON
Last name - owner
WARR
Title - owner
ADMINISTRATOR
Enrollment id
O20230421000785
Associate id
4880059062
Organization name
PALOMAR HEIGHTS HEALTHCARE, LLC
Associate id - owner
0042675225
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-08-01
First name - owner
BRANDON
Last name - owner
WARR
Title - owner
ADMINISTRATOR
Enrollment id
O20240829002153
Associate id
2062951460
Organization name
PORTHAVEN SNF HEALTHCARE LLC
Associate id - owner
0042675225
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-09-09
First name - owner
BRANDON
Last name - owner
WARR
Enrollment id
O20240829002153
Associate id
2062951460
Organization name
PORTHAVEN SNF HEALTHCARE LLC
Associate id - owner
0042675225
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-06-05
First name - owner
BRANDON
Last name - owner
WARR

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