Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 1355729443 · 14 matching records

Enrollment id
O20070501000613
Associate id
2769588177
Organization name
JACKSON PINE VIEW HEALTHCARE, LLC
Associate id - owner
1355729443
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-05-01
First name - owner
ALBERT
Middle name - owner
V
Last name - owner
HAWORTH
Title - owner
PRESIDENT/CEO
Percentage ownership
15
Enrollment id
O20070501000613
Associate id
2769588177
Organization name
JACKSON PINE VIEW HEALTHCARE, LLC
Associate id - owner
1355729443
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-05-01
First name - owner
ALBERT
Middle name - owner
V
Last name - owner
HAWORTH
Title - owner
PRESIDENT/CEO
Percentage ownership
5
Enrollment id
O20111201000361
Associate id
6002080074
Organization name
PLUM CITY CARE CENTER, INC.
Associate id - owner
1355729443
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-05-01
First name - owner
ALBERT
Middle name - owner
V
Last name - owner
HAWORTH
Title - owner
PRESIDENT,CEO
Percentage ownership
15
Enrollment id
O20111201000361
Associate id
6002080074
Organization name
PLUM CITY CARE CENTER, INC.
Associate id - owner
1355729443
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-05-01
First name - owner
ALBERT
Middle name - owner
V
Last name - owner
HAWORTH
Title - owner
PRESIDENT,CEO
Percentage ownership
5
Enrollment id
O20111207000349
Associate id
6305011164
Organization name
WILLOW RIDGE HEALTHCARE FACILITIES, LLC
Associate id - owner
1355729443
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-05-01
First name - owner
ALBERT
Middle name - owner
V
Last name - owner
HAWORTH
Title - owner
PRESIDENT/CEO
Percentage ownership
15
Enrollment id
O20111207000349
Associate id
6305011164
Organization name
WILLOW RIDGE HEALTHCARE FACILITIES, LLC
Associate id - owner
1355729443
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-05-01
First name - owner
ALBERT
Middle name - owner
V
Last name - owner
HAWORTH
Title - owner
PRESIDENT/CEO
Percentage ownership
5
Enrollment id
O20111207000404
Associate id
4082889746
Organization name
THORP NURSING HOME, INC
Associate id - owner
1355729443
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-05-01
First name - owner
ALBERT
Middle name - owner
V
Last name - owner
HAWORTH
Title - owner
PRESIDENT/CEO
Percentage ownership
15
Enrollment id
O20111207000404
Associate id
4082889746
Organization name
THORP NURSING HOME, INC
Associate id - owner
1355729443
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-05-01
First name - owner
ALBERT
Middle name - owner
V
Last name - owner
HAWORTH
Title - owner
PRESIDENT/CEO
Percentage ownership
5
Enrollment id
O20120306000256
Associate id
6103085477
Organization name
MIDWAY MANOR CORP
Associate id - owner
1355729443
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-05-01
First name - owner
ALBERT
Middle name - owner
V
Last name - owner
HAWORTH
Title - owner
PRESIDENT/CEO
Percentage ownership
15
Enrollment id
O20120306000256
Associate id
6103085477
Organization name
MIDWAY MANOR CORP
Associate id - owner
1355729443
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-05-01
First name - owner
ALBERT
Middle name - owner
V
Last name - owner
HAWORTH
Title - owner
PRESIDENT/CEO
Percentage ownership
5
Enrollment id
O20120918000136
Associate id
7012802754
Organization name
RUSH MEMORIAL HOSPITAL
Associate id - owner
1355729443
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-05-01
First name - owner
ALBERT
Middle name - owner
V
Last name - owner
HAWORTH
Title - owner
PRESIDENT/CEO
Enrollment id
O20120918000136
Associate id
7012802754
Organization name
RUSH MEMORIAL HOSPITAL
Associate id - owner
1355729443
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-05-01
First name - owner
ALBERT
Middle name - owner
V
Last name - owner
HAWORTH
Title - owner
PRESIDENT/CEO
Enrollment id
O20120919000231
Associate id
7012802754
Organization name
RUSH MEMORIAL HOSPITAL
Associate id - owner
1355729443
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-05-01
First name - owner
ALBERT
Middle name - owner
V
Last name - owner
HAWORTH
Title - owner
PRESIDENT/CEO
Percentage ownership
15
Enrollment id
O20120919000231
Associate id
7012802754
Organization name
RUSH MEMORIAL HOSPITAL
Associate id - owner
1355729443
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-05-01
First name - owner
ALBERT
Middle name - owner
V
Last name - owner
HAWORTH
Title - owner
PRESIDENT/CEO
Percentage ownership
5

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