Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 1557843224 · 4 matching records

Enrollment id: O20160329002576
Associate id: 7012091523
Organization name: COOS COUNTY NURSING HOME
Associate id - owner: 1557843224
Type - owner: I
Role code - owner: 35
Role text - owner: 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner: 2023-05-01
First name - owner: MARK
Middle name - owner: A
Last name - owner: BRADY
Title - owner: COUNTY ADMINISTRATOR
Percentage ownership: 100

Enrollment id: O20160329002576
Associate id: 7012091523
Organization name: COOS COUNTY NURSING HOME
Associate id - owner: 1557843224
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2023-05-15
First name - owner: MARK
Middle name - owner: A
Last name - owner: BRADY
Title - owner: COUNTY ADMINISTRATOR
Percentage ownership: 100

Enrollment id: O20160329002576
Associate id: 7012091523
Organization name: COOS COUNTY NURSING HOME
Associate id - owner: 1557843224
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-05-11
First name - owner: MARK
Middle name - owner: A
Last name - owner: BRADY

Enrollment id: O20160329002576
Associate id: 7012091523
Organization name: COOS COUNTY NURSING HOME
Associate id - owner: 1557843224
Type - owner: I
Role code - owner: 86
Role text - owner: INDIRECT OWNERSHIP INTEREST
Association date - owner: 2023-05-11
First name - owner: MARK
Middle name - owner: A
Last name - owner: BRADY
Percentage ownership: 100

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