Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 0446157259 · 10 matching records

Enrollment id
O20031118000208
Associate id
9335053990
Organization name
HEALTHPARK CARE CENTER, INC.
Associate id - owner
0446157259
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-06-01
First name - owner
LAWRENCE
Middle name - owner
R
Last name - owner
ANTONUCCI
Title - owner
PRESIDENT, CEO AND DIRECTOR
Enrollment id
O20031118000208
Associate id
9335053990
Organization name
HEALTHPARK CARE CENTER, INC.
Associate id - owner
0446157259
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-11-01
First name - owner
LAWRENCE
Middle name - owner
R
Last name - owner
ANTONUCCI
Title - owner
PRESIDENT, CEO AND DIRECTOR
Enrollment id
O20241108000318
Associate id
9335672146
Organization name
LEE HEALTH SYSTEM INC
Associate id - owner
0446157259
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-11-01
First name - owner
LAWRENCE
Middle name - owner
R
Last name - owner
ANTONUCCI
Title - owner
PRESIDENT AND CEO
Percentage ownership
0
Enrollment id
O20241108000318
Associate id
9335672146
Organization name
LEE HEALTH SYSTEM INC
Associate id - owner
0446157259
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-11-01
First name - owner
LAWRENCE
Middle name - owner
R
Last name - owner
ANTONUCCI
Title - owner
PRESIDENT AND CEO
Percentage ownership
0
Enrollment id
O20241108000318
Associate id
9335672146
Organization name
LEE HEALTH SYSTEM INC
Associate id - owner
0446157259
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-11-01
First name - owner
LAWRENCE
Middle name - owner
R
Last name - owner
ANTONUCCI
Enrollment id
O20241108000318
Associate id
9335672146
Organization name
LEE HEALTH SYSTEM INC
Associate id - owner
0446157259
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-11-01
First name - owner
LAWRENCE
Middle name - owner
R
Last name - owner
ANTONUCCI
Enrollment id
O20241217001358
Associate id
9335672146
Organization name
LEE HEALTH SYSTEM INC
Associate id - owner
0446157259
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-06-01
First name - owner
LAWRENCE
Middle name - owner
R
Last name - owner
ANTONUCCI
Title - owner
PRESIDENT, CEO AND DIRECTOR
Percentage ownership
0
Enrollment id
O20241217001358
Associate id
9335672146
Organization name
LEE HEALTH SYSTEM INC
Associate id - owner
0446157259
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-06-01
First name - owner
LAWRENCE
Middle name - owner
R
Last name - owner
ANTONUCCI
Title - owner
PRESIDENT, CEO AND DIRECTOR
Percentage ownership
0
Enrollment id
O20241217001358
Associate id
9335672146
Organization name
LEE HEALTH SYSTEM INC
Associate id - owner
0446157259
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-11-01
First name - owner
LAWRENCE
Middle name - owner
R
Last name - owner
ANTONUCCI
Enrollment id
O20241217001358
Associate id
9335672146
Organization name
LEE HEALTH SYSTEM INC
Associate id - owner
0446157259
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-11-01
First name - owner
LAWRENCE
Middle name - owner
R
Last name - owner
ANTONUCCI

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