Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 1759810575 · 8 matching records

Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
1759810575
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-03-21
First name - owner
CHRISTOPHER
Last name - owner
SIREGAR
Enrollment id
O20091113000102
Associate id
9830237700
Organization name
FLOWER VILLA, INC.
Associate id - owner
1759810575
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-03-21
First name - owner
CHRISTOPHER
Last name - owner
SIREGAR
Enrollment id
O20130802000045
Associate id
0042451064
Organization name
CENTURY VILLA INC
Associate id - owner
1759810575
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-03-31
First name - owner
CHRISTOPHER
Last name - owner
SIREGAR
Title - owner
AD;
Percentage ownership
0
Enrollment id
O20130802000045
Associate id
0042451064
Organization name
CENTURY VILLA INC
Associate id - owner
1759810575
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-07
First name - owner
CHRISTOPHER
Last name - owner
SIREGAR
Enrollment id
O20130802000045
Associate id
0042451064
Organization name
CENTURY VILLA INC
Associate id - owner
1759810575
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-23
First name - owner
CHRISTOPHER
Last name - owner
SIREGAR
Enrollment id
O20240904001696
Associate id
7315286325
Organization name
L A DOWNTOWN MEDICAL CENTER LLC
Associate id - owner
1759810575
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-03-01
First name - owner
CHRISTOPHER
Last name - owner
SIREGAR
Title - owner
ADMINISTRATOR
Enrollment id
O20240904001696
Associate id
7315286325
Organization name
L A DOWNTOWN MEDICAL CENTER LLC
Associate id - owner
1759810575
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-03-01
First name - owner
CHRISTOPHER
Last name - owner
SIREGAR
Enrollment id
O20240904001696
Associate id
7315286325
Organization name
L A DOWNTOWN MEDICAL CENTER LLC
Associate id - owner
1759810575
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-03-01
First name - owner
CHRISTOPHER
Last name - owner
SIREGAR

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