Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 0840638524 · 6 matching records

Enrollment id
O20240401000359
Associate id
7214375997
Organization name
COWETA HEALTHCARE MANAGEMENT LLC
Associate id - owner
0840638524
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2024-01-09
First name - owner
ALLEN
Last name - owner
KOSS
Title - owner
TRUSTEE OF JFB OK TRUST
Percentage ownership
50
Enrollment id
O20240401000593
Associate id
8426496118
Organization name
MITCHELL HEALTHCARE MANAGEMENT, LLC
Associate id - owner
0840638524
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2024-01-09
First name - owner
ALLEN
Last name - owner
KOSS
Percentage ownership
50
Enrollment id
O20240404000555
Associate id
5496193872
Organization name
HERITAGE VILLA HEALTHCARE LLC
Associate id - owner
0840638524
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2023-12-18
First name - owner
ALLEN
Last name - owner
KOSS
Percentage ownership
50
Enrollment id
O20240528000225
Associate id
9234571928
Organization name
CLEVELAND HEALTHCARE, LLC
Associate id - owner
0840638524
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2024-01-09
First name - owner
ALLEN
Last name - owner
KOSS
Title - owner
TRUSTEE OF JFB OK TRUST
Percentage ownership
50
Enrollment id
O20240626001242
Associate id
7012451578
Organization name
WALNUT HEALTHCARE, LLC
Associate id - owner
0840638524
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2024-05-14
First name - owner
ALLEN
Last name - owner
KOSS
Percentage ownership
50
Enrollment id
O20240626001671
Associate id
7911441480
Organization name
FORT GIBSON HEALTHCARE LLC
Associate id - owner
0840638524
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2024-05-14
First name - owner
ALLEN
Last name - owner
KOSS
Percentage ownership
50

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