Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 1355320680 · 13 matching records

Enrollment id
O20040719001118
Associate id
1951380278
Organization name
HARRELL NURSING HOME
Associate id - owner
1355320680
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1988-07-18
First name - owner
TIMOTHY
Last name - owner
WYNNE
Title - owner
EXECUTIVE VICE PRESIDENT
Percentage ownership
30
Enrollment id
O20040719001118
Associate id
1951380278
Organization name
HARRELL NURSING HOME
Associate id - owner
1355320680
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
1988-07-18
First name - owner
TIMOTHY
Last name - owner
WYNNE
Title - owner
EXECUTIVE VICE PRESIDENT
Enrollment id
O20040719001118
Associate id
1951380278
Organization name
HARRELL NURSING HOME
Associate id - owner
1355320680
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1988-07-18
First name - owner
TIMOTHY
Last name - owner
WYNNE
Title - owner
DIRECTOR
Percentage ownership
30
Enrollment id
O20091210000690
Associate id
8729128475
Organization name
TLEVAY, INC
Associate id - owner
1355320680
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1986-05-13
First name - owner
TIMOTHY
Last name - owner
WYNNE
Enrollment id
O20091210000690
Associate id
8729128475
Organization name
TLEVAY, INC
Associate id - owner
1355320680
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
1989-10-17
First name - owner
TIMOTHY
Last name - owner
WYNNE
Title - owner
VICE PRESIDENT
Enrollment id
O20100225000783
Associate id
6507900776
Organization name
PATASKALA LAND CORPORATION
Associate id - owner
1355320680
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1987-07-22
First name - owner
TIMOTHY
Last name - owner
WYNNE
Percentage ownership
30
Enrollment id
O20100225000783
Associate id
6507900776
Organization name
PATASKALA LAND CORPORATION
Associate id - owner
1355320680
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
1987-07-22
First name - owner
TIMOTHY
Last name - owner
WYNNE
Title - owner
EXECUTUVE VICE PRESIDENT/TREASUR
Enrollment id
O20100225000783
Associate id
6507900776
Organization name
PATASKALA LAND CORPORATION
Associate id - owner
1355320680
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1987-07-22
First name - owner
TIMOTHY
Last name - owner
WYNNE
Enrollment id
O20120420000504
Associate id
2163683970
Organization name
CIRCLEVILLE LONG TERM CARE, INC
Associate id - owner
1355320680
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1992-09-21
First name - owner
TIMOTHY
Last name - owner
WYNNE
Percentage ownership
30
Enrollment id
O20120420000504
Associate id
2163683970
Organization name
CIRCLEVILLE LONG TERM CARE, INC
Associate id - owner
1355320680
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
1992-09-21
First name - owner
TIMOTHY
Last name - owner
WYNNE
Title - owner
VICE PRESIDENT
Enrollment id
O20120420000504
Associate id
2163683970
Organization name
CIRCLEVILLE LONG TERM CARE, INC
Associate id - owner
1355320680
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1994-01-01
First name - owner
TIMOTHY
Last name - owner
WYNNE
Enrollment id
O20120420000552
Associate id
2668633470
Organization name
MT WASHINGTON CARE CENTER
Associate id - owner
1355320680
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-02-14
First name - owner
TIMOTHY
Last name - owner
WYNNE
Percentage ownership
7.5
Enrollment id
O20120420000552
Associate id
2668633470
Organization name
MT WASHINGTON CARE CENTER
Associate id - owner
1355320680
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2015-02-14
First name - owner
TIMOTHY
Last name - owner
WYNNE
Title - owner
TRUSTEE

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