Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 0143361162 · 15 matching records

Enrollment id
O20030903000026
Associate id
9133030471
Organization name
CITY HEIGHTS HEALTH ASSOCIATES LLC
Associate id - owner
0143361162
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-03-09
First name - owner
POUYA
Last name - owner
AFSHAR
Enrollment id
O20030903000026
Associate id
9133030471
Organization name
CITY HEIGHTS HEALTH ASSOCIATES LLC
Associate id - owner
0143361162
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2016-03-09
First name - owner
POUYA
Last name - owner
AFSHAR
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20030903000026
Associate id
9133030471
Organization name
CITY HEIGHTS HEALTH ASSOCIATES LLC
Associate id - owner
0143361162
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-03-09
First name - owner
POUYA
Last name - owner
AFSHAR
Enrollment id
O20061005000387
Associate id
7113923608
Organization name
BIRCH HOLDINGS LLC
Associate id - owner
0143361162
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2023-11-30
First name - owner
POUYA
Last name - owner
AFSHAR
Title - owner
MD;
Enrollment id
O20120315000384
Associate id
3375702012
Organization name
LA JOLLA SKILLED LLC
Associate id - owner
0143361162
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-04-01
First name - owner
POUYA
Last name - owner
AFSHAR
Enrollment id
O20120315000384
Associate id
3375702012
Organization name
LA JOLLA SKILLED LLC
Associate id - owner
0143361162
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2022-04-01
First name - owner
POUYA
Last name - owner
AFSHAR
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20120315000384
Associate id
3375702012
Organization name
LA JOLLA SKILLED LLC
Associate id - owner
0143361162
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-04-01
First name - owner
POUYA
Last name - owner
AFSHAR
Enrollment id
O20150105002196
Associate id
4981927696
Organization name
PORTSIDE HEALTHCARE INC
Associate id - owner
0143361162
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-01-26
First name - owner
POUYA
Last name - owner
AFSHAR
Enrollment id
O20150105002196
Associate id
4981927696
Organization name
PORTSIDE HEALTHCARE INC
Associate id - owner
0143361162
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2022-01-26
First name - owner
POUYA
Last name - owner
AFSHAR
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20150105002196
Associate id
4981927696
Organization name
PORTSIDE HEALTHCARE INC
Associate id - owner
0143361162
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-03-09
First name - owner
POUYA
Last name - owner
AFSHAR
Enrollment id
O20201201001654
Associate id
8426469164
Organization name
DEVONSHIRE HEALTHCARE INC
Associate id - owner
0143361162
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-07-01
First name - owner
POUYA
Last name - owner
AFSHAR
Enrollment id
O20201201001654
Associate id
8426469164
Organization name
DEVONSHIRE HEALTHCARE INC
Associate id - owner
0143361162
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2022-07-01
First name - owner
POUYA
Last name - owner
AFSHAR
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20201201001654
Associate id
8426469164
Organization name
DEVONSHIRE HEALTHCARE INC
Associate id - owner
0143361162
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-06-21
First name - owner
POUYA
Last name - owner
AFSHAR
Enrollment id
O20240327003482
Associate id
9931546835
Organization name
SAN DIEGO BAY HOLDINGS LLC
Associate id - owner
0143361162
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-02-01
First name - owner
POUYA
Last name - owner
AFSHAR
Enrollment id
O20240327003482
Associate id
9931546835
Organization name
SAN DIEGO BAY HOLDINGS LLC
Associate id - owner
0143361162
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-02-01
First name - owner
POUYA
Last name - owner
AFSHAR

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