Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 0840299939 · 3 matching records

Enrollment id
O20030207000025
Associate id
1153230826
Organization name
DELHAVEN MANOR NO 2 INC
Associate id - owner
0840299939
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-15
First name - owner
THOMAS
Last name - owner
JACKSON
Enrollment id
O20030207000025
Associate id
1153230826
Organization name
DELHAVEN MANOR NO 2 INC
Associate id - owner
0840299939
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-01-15
First name - owner
THOMAS
Last name - owner
JACKSON
Enrollment id
O20230518002848
Associate id
5395101281
Organization name
PALLADIAN UCITY LLC
Associate id - owner
0840299939
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-07-21
First name - owner
THOMAS
Last name - owner
JACKSON
Title - owner
ADMINISTRATOR
Percentage ownership
100

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