Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3072606003 · 9 matching records

Enrollment id
O20151120002749
Associate id
5395045405
Organization name
FAIRHAVEN OPCO, LLC
Associate id - owner
3072606003
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-04-21
First name - owner
JASON
Last name - owner
SHELTON
Enrollment id
O20151120002749
Associate id
5395045405
Organization name
FAIRHAVEN OPCO, LLC
Associate id - owner
3072606003
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-04-21
First name - owner
JASON
Last name - owner
SHELTON
Title - owner
MEMBER OF GOVERNING BODY
Enrollment id
O20151120002749
Associate id
5395045405
Organization name
FAIRHAVEN OPCO, LLC
Associate id - owner
3072606003
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-21
First name - owner
JASON
Last name - owner
SHELTON
Enrollment id
O20170831002141
Associate id
2062785793
Organization name
IRONTON OPCO INC
Associate id - owner
3072606003
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-04-21
First name - owner
JASON
Last name - owner
SHELTON
Enrollment id
O20170831002141
Associate id
2062785793
Organization name
IRONTON OPCO INC
Associate id - owner
3072606003
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-04-21
First name - owner
JASON
Last name - owner
SHELTON
Title - owner
MEMBER OF GOVERNING BODY
Enrollment id
O20170831002141
Associate id
2062785793
Organization name
IRONTON OPCO INC
Associate id - owner
3072606003
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-21
First name - owner
JASON
Last name - owner
SHELTON
Enrollment id
O20201103002052
Associate id
2769892793
Organization name
PROVIDENCE POINT HEALTHCARE INC
Associate id - owner
3072606003
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-04-21
First name - owner
JASON
Last name - owner
SHELTON
Enrollment id
O20201103002052
Associate id
2769892793
Organization name
PROVIDENCE POINT HEALTHCARE INC
Associate id - owner
3072606003
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-04-21
First name - owner
JASON
Last name - owner
SHELTON
Title - owner
MEMBER OF GOVERNING BODY
Enrollment id
O20201103002052
Associate id
2769892793
Organization name
PROVIDENCE POINT HEALTHCARE INC
Associate id - owner
3072606003
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-21
First name - owner
JASON
Last name - owner
SHELTON

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