Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 0941462048 · 5 matching records

Enrollment id
O20031218000899
Associate id
4385541002
Organization name
LEXINGTON SQUARE LLC
Associate id - owner
0941462048
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-04-01
First name - owner
MICHAEL
Last name - owner
BLUME
Enrollment id
O20031218000899
Associate id
4385541002
Organization name
LEXINGTON SQUARE LLC
Associate id - owner
0941462048
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2016-01-20
First name - owner
MICHAEL
Last name - owner
BLUME
Title - owner
ADMINISTRATOR
Enrollment id
O20031218000899
Associate id
4385541002
Organization name
LEXINGTON SQUARE LLC
Associate id - owner
0941462048
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-08-20
First name - owner
MICHAEL
Last name - owner
BLUME
Enrollment id
O20231030003658
Associate id
2264693985
Organization name
DAVES PLACE LLC
Associate id - owner
0941462048
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-04-01
First name - owner
MICHAEL
Last name - owner
BLUME
Enrollment id
O20231030003658
Associate id
2264693985
Organization name
DAVES PLACE LLC
Associate id - owner
0941462048
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-04-01
First name - owner
MICHAEL
Last name - owner
BLUME

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