Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 0840372637 · 7 matching records

Enrollment id
O20030920000011
Associate id
7315858495
Organization name
AVALON CARE CENTER - FEDERAL WAY, LLC
Associate id - owner
0840372637
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-03-26
First name - owner
ATIQUE
Last name - owner
AHMAD
Enrollment id
O20030920000011
Associate id
7315858495
Organization name
AVALON CARE CENTER - FEDERAL WAY, LLC
Associate id - owner
0840372637
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-26
First name - owner
ATIQUE
Last name - owner
AHMAD
Enrollment id
O20090421000114
Associate id
7719075100
Organization name
AVALON CARE CENTER-KENT, LLC
Associate id - owner
0840372637
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-01-14
First name - owner
ATIQUE
Last name - owner
AHMAD
Enrollment id
O20090421000114
Associate id
7719075100
Organization name
AVALON CARE CENTER-KENT, LLC
Associate id - owner
0840372637
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-14
First name - owner
ATIQUE
Last name - owner
AHMAD
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
0840372637
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-12-28
First name - owner
ATIQUE
Last name - owner
AHMAD
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
0840372637
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2016-12-28
First name - owner
ATIQUE
Last name - owner
AHMAD
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
0840372637
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-12-28
First name - owner
ATIQUE
Last name - owner
AHMAD

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