Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 1951302975 · 11 matching records

Enrollment id
O20050823000713
Associate id
4183655848
Organization name
PRESBYTERIAN HOMES BLOOMINGTON CARE CENTER, INC
Associate id - owner
1951302975
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-01
First name - owner
SCOTT
Middle name - owner
JOHN
Last name - owner
FAIRBAIRN
Enrollment id
O20050823000713
Associate id
4183655848
Organization name
PRESBYTERIAN HOMES BLOOMINGTON CARE CENTER, INC
Associate id - owner
1951302975
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-01
First name - owner
SCOTT
Middle name - owner
JOHN
Last name - owner
FAIRBAIRN
Enrollment id
O20080206000538
Associate id
4385732841
Organization name
SENIOR CARE PROVIDENCE, LLC
Associate id - owner
1951302975
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-02-28
First name - owner
SCOTT
Middle name - owner
JOHN
Last name - owner
FAIRBAIRN
Enrollment id
O20080206000538
Associate id
4385732841
Organization name
SENIOR CARE PROVIDENCE, LLC
Associate id - owner
1951302975
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-02-28
First name - owner
SCOTT
Middle name - owner
JOHN
Last name - owner
FAIRBAIRN
Enrollment id
O20120803000335
Associate id
5698921815
Organization name
MOUNT OLIVET CAREVIEW HOME
Associate id - owner
1951302975
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-01
First name - owner
SCOTT
Middle name - owner
JOHN
Last name - owner
FAIRBAIRN
Enrollment id
O20120803000335
Associate id
5698921815
Organization name
MOUNT OLIVET CAREVIEW HOME
Associate id - owner
1951302975
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-10
First name - owner
SCOTT
Middle name - owner
JOHN
Last name - owner
FAIRBAIRN
Enrollment id
O20120806000527
Associate id
3476709593
Organization name
WALKER THOMPSON HILL, LLC
Associate id - owner
1951302975
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2019-09-01
First name - owner
SCOTT
Middle name - owner
JOHN
Last name - owner
FAIRBAIRN
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20230508001913
Associate id
9335504778
Organization name
LAKE HARRIET OPERATOR LLC
Associate id - owner
1951302975
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-05-01
First name - owner
SCOTT
Middle name - owner
JOHN
Last name - owner
FAIRBAIRN
Enrollment id
O20230508001913
Associate id
9335504778
Organization name
LAKE HARRIET OPERATOR LLC
Associate id - owner
1951302975
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-05-01
First name - owner
SCOTT
Middle name - owner
JOHN
Last name - owner
FAIRBAIRN
Enrollment id
O20250218000730
Associate id
1759801004
Organization name
SHAKOPEE CARE LLC
Associate id - owner
1951302975
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-12-01
First name - owner
SCOTT
Middle name - owner
JOHN
Last name - owner
FAIRBAIRN
Enrollment id
O20250218000730
Associate id
1759801004
Organization name
SHAKOPEE CARE LLC
Associate id - owner
1951302975
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-01
First name - owner
SCOTT
Middle name - owner
JOHN
Last name - owner
FAIRBAIRN

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