Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 0749268738 · 19 matching records

Enrollment id
O20111208000165
Associate id
1850379843
Organization name
COOK MANAGEMENT SERVICES INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Title - owner
CEO
Enrollment id
O20111208000165
Associate id
1850379843
Organization name
COOK MANAGEMENT SERVICES INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Title - owner
CEO
Enrollment id
O20111208000165
Associate id
1850379843
Organization name
COOK MANAGEMENT SERVICES INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Enrollment id
O20111208000165
Associate id
1850379843
Organization name
COOK MANAGEMENT SERVICES INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Title - owner
CEO
Enrollment id
O20111208000165
Associate id
1850379843
Organization name
COOK MANAGEMENT SERVICES INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Enrollment id
O20111208000165
Associate id
1850379843
Organization name
COOK MANAGEMENT SERVICES INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2013-05-31
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Percentage ownership
100
Enrollment id
O20130718000465
Associate id
8729229646
Organization name
PINE LEAF INVESTMENT INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Title - owner
CEO
Enrollment id
O20130718000465
Associate id
8729229646
Organization name
PINE LEAF INVESTMENT INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Title - owner
CEO
Enrollment id
O20130718000465
Associate id
8729229646
Organization name
PINE LEAF INVESTMENT INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Enrollment id
O20130718000465
Associate id
8729229646
Organization name
PINE LEAF INVESTMENT INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Title - owner
CEO
Enrollment id
O20130718000465
Associate id
8729229646
Organization name
PINE LEAF INVESTMENT INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Enrollment id
O20130718000465
Associate id
8729229646
Organization name
PINE LEAF INVESTMENT INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Percentage ownership
100
Enrollment id
O20130718000620
Associate id
8729229646
Organization name
PINE LEAF INVESTMENT INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Title - owner
CEO
Enrollment id
O20130718000620
Associate id
8729229646
Organization name
PINE LEAF INVESTMENT INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Title - owner
CEO
Enrollment id
O20130718000620
Associate id
8729229646
Organization name
PINE LEAF INVESTMENT INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Enrollment id
O20130718000620
Associate id
8729229646
Organization name
PINE LEAF INVESTMENT INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Title - owner
CEO
Enrollment id
O20130718000620
Associate id
8729229646
Organization name
PINE LEAF INVESTMENT INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Enrollment id
O20130718000620
Associate id
8729229646
Organization name
PINE LEAF INVESTMENT INC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2013-05-15
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK
Percentage ownership
100
Enrollment id
O20240913002068
Associate id
3375083504
Organization name
PHG MCRAE LLC
Associate id - owner
0749268738
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-24
First name - owner
SHEILA
Middle name - owner
W
Last name - owner
COOK

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