Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 1850587569 · 4 matching records

Enrollment id
O20050715000018
Associate id
0042246563
Organization name
PARADISE VALLEY HEALTH CARE CENTER, INC
Associate id - owner
1850587569
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-11-05
First name - owner
PATRICK
Middle name - owner
LANDON
Last name - owner
BURRUP
Title - owner
ADMINISTRATOR
Enrollment id
O20050715000018
Associate id
0042246563
Organization name
PARADISE VALLEY HEALTH CARE CENTER, INC
Associate id - owner
1850587569
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-11-05
First name - owner
PATRICK
Middle name - owner
LANDON
Last name - owner
BURRUP
Title - owner
ADMINISTRATOR
Enrollment id
O20061226000124
Associate id
5395745376
Organization name
LILAC HOLDINGS, LLC
Associate id - owner
1850587569
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-10-06
First name - owner
PATRICK
Middle name - owner
LANDON
Last name - owner
BURRUP
Title - owner
ADMINISTRATOR
Enrollment id
O20061226000124
Associate id
5395745376
Organization name
LILAC HOLDINGS, LLC
Associate id - owner
1850587569
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-10-06
First name - owner
PATRICK
Middle name - owner
LANDON
Last name - owner
BURRUP
Title - owner
ADMINISTRATOR

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