Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 2860596186 · 3 matching records

Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
2860596186
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-03-04
First name - owner
STEVE
Last name - owner
STAUM
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
2860596186
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-03-04
First name - owner
STEVE
Last name - owner
STAUM
Title - owner
ADMINISTRATOR
Enrollment id
O20130702000326
Associate id
3577718030
Organization name
521 PINE BROOK OPERATING LLC
Associate id - owner
2860596186
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-03-04
First name - owner
STEVE
Last name - owner
STAUM

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