Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 1557768165 · 29 matching records

Enrollment id
O20060203000449
Associate id
4587685243
Organization name
GRUNDY LIFE CARE CORP
Associate id - owner
1557768165
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20060203000449
Associate id
4587685243
Organization name
GRUNDY LIFE CARE CORP
Associate id - owner
1557768165
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20060203000456
Associate id
6204857964
Organization name
FRONT ROYAL LIFE CARE CORP
Associate id - owner
1557768165
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20060203000456
Associate id
6204857964
Organization name
FRONT ROYAL LIFE CARE CORP
Associate id - owner
1557768165
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20060203000456
Associate id
6204857964
Organization name
FRONT ROYAL LIFE CARE CORP
Associate id - owner
1557768165
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20060203000459
Associate id
0749201408
Organization name
LEXINGTON LIFE CARE CORP
Associate id - owner
1557768165
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20060203000459
Associate id
0749201408
Organization name
LEXINGTON LIFE CARE CORP
Associate id - owner
1557768165
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20100323000586
Associate id
6204961790
Organization name
NRV NURSING CENTER INCORPORATED
Associate id - owner
1557768165
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2020-10-01
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20100323000586
Associate id
6204961790
Organization name
NRV NURSING CENTER INCORPORATED
Associate id - owner
1557768165
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-10-01
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180809004067
Associate id
5799033601
Organization name
BLACKSTONE LIFE CARE, LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-04-21
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180809004067
Associate id
5799033601
Organization name
BLACKSTONE LIFE CARE, LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-04-21
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180810002957
Associate id
1850649567
Organization name
BIG STONE GAP LIFE CARE LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180810002957
Associate id
1850649567
Organization name
BIG STONE GAP LIFE CARE LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-04-01
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180810002957
Associate id
1850649567
Organization name
BIG STONE GAP LIFE CARE LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-04-01
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180813002233
Associate id
1456609122
Organization name
TAZEWELL LIFE CARE, LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180813002233
Associate id
1456609122
Organization name
TAZEWELL LIFE CARE, LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180813002357
Associate id
4880942556
Organization name
BLACKSBURG LIFE CARE, LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180813002851
Associate id
1254689946
Organization name
LEESBURG LIFE CARE, LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180813002851
Associate id
1254689946
Organization name
LEESBURG LIFE CARE, LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2014-04-21
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180813003253
Associate id
8628326311
Organization name
KING GEORGE LIFE CARE, LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180813003253
Associate id
8628326311
Organization name
KING GEORGE LIFE CARE, LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180813003372
Associate id
9436408127
Organization name
WISE LIFE CARE, LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Title - owner
SECRETARY
Enrollment id
O20180813003372
Associate id
9436408127
Organization name
WISE LIFE CARE, LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180813003372
Associate id
9436408127
Organization name
WISE LIFE CARE, LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180821000732
Associate id
6608125943
Organization name
CLINTWOOD LIFE CARE, LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20180821000732
Associate id
6608125943
Organization name
CLINTWOOD LIFE CARE, LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20190730002628
Associate id
1254667108
Organization name
SOUTH ROANOKE LIFE CARE LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Title - owner
SECRETARY
Enrollment id
O20190730002628
Associate id
1254667108
Organization name
SOUTH ROANOKE LIFE CARE LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON
Enrollment id
O20190730002628
Associate id
1254667108
Organization name
SOUTH ROANOKE LIFE CARE LLC
Associate id - owner
1557768165
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-07-11
First name - owner
BRAD
Last name - owner
DALTON

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