Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3072679869 · 29 matching records

Enrollment id
O20050103000540
Associate id
5193783421
Organization name
PARKS EDGE CARE CENTER INC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2007-04-01
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Enrollment id
O20050103000540
Associate id
5193783421
Organization name
PARKS EDGE CARE CENTER INC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2007-04-01
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Enrollment id
O20050110000873
Associate id
3971551599
Organization name
EUFAULA CARE CENTER INC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-12-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Enrollment id
O20050110000961
Associate id
7416905047
Organization name
PERRY COUNTY CARE CENTER INC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2007-04-01
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Percentage ownership
0
Enrollment id
O20050110000961
Associate id
7416905047
Organization name
PERRY COUNTY CARE CENTER INC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-04-01
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Enrollment id
O20051222000148
Associate id
3375565096
Organization name
BRIARWOOD NURSING AND REHABILITATION CENTER INC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-12-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Enrollment id
O20051222000259
Associate id
0244252971
Organization name
STELLA MANOR CARE CENTER INC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2007-04-01
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Percentage ownership
0
Enrollment id
O20051222000259
Associate id
0244252971
Organization name
STELLA MANOR CARE CENTER INC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-04-01
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Enrollment id
O20051222000328
Associate id
6002838745
Organization name
CHEROKEE COUNTY NURSING CENTER INC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-12-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Enrollment id
O20060714000133
Associate id
2567475536
Organization name
RUSSELLVILLE CARE CENTER, INC.
Associate id - owner
3072679869
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2007-04-01
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Percentage ownership
0
Enrollment id
O20060714000133
Associate id
2567475536
Organization name
RUSSELLVILLE CARE CENTER, INC.
Associate id - owner
3072679869
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-04-01
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
DIRECTOR
Enrollment id
O20060714000191
Associate id
1658384631
Organization name
DARDANELLE NURSING AND REHABILITATION CENTER INC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
39
Role text - owner
LIMITED PARTNERSHIP INTEREST
Association date - owner
2014-11-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
MANAGING MEMBER
Percentage ownership
76
Enrollment id
O20060714000191
Associate id
1658384631
Organization name
DARDANELLE NURSING AND REHABILITATION CENTER INC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2007-04-01
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Enrollment id
O20060714000191
Associate id
1658384631
Organization name
DARDANELLE NURSING AND REHABILITATION CENTER INC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-04-01
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Enrollment id
O20060720000053
Associate id
8022021971
Organization name
OAK MANOR NURSING AND REHABILITATION CENTER, INC.
Associate id - owner
3072679869
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-12-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Enrollment id
O20070122000543
Associate id
7214938026
Organization name
GREENBRIER CARE CENTER, INC.
Associate id - owner
3072679869
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2007-04-01
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Enrollment id
O20091121000054
Associate id
6103737580
Organization name
SHERWOOD NURSING & REHABILITATION CENTER INC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-12-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Enrollment id
O20091121000054
Associate id
6103737580
Organization name
SHERWOOD NURSING & REHABILITATION CENTER INC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-12-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Enrollment id
O20100612000172
Associate id
7315969029
Organization name
SALEM PLACE NURSING AND REHABILITATION CENTER INC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2007-04-01
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Enrollment id
O20110221001045
Associate id
7012198203
Organization name
SHILOH NURSING AND REHAB, LLC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2010-12-29
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Percentage ownership
10
Enrollment id
O20110225000854
Associate id
2567643307
Organization name
INNISFREE HEALTH AND REHAB, LLC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-12-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Percentage ownership
10
Enrollment id
O20110826000694
Associate id
5991975062
Organization name
LEGACY HEIGHTS NURSING AND REHAB, LLC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-12-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
5
Enrollment id
O20110826000694
Associate id
5991975062
Organization name
LEGACY HEIGHTS NURSING AND REHAB, LLC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Enrollment id
O20130909000147
Associate id
7618110875
Organization name
JOHNSON COUNTY HEALTH AND REHAB, LLC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Enrollment id
O20131211001368
Associate id
8325275696
Organization name
HICKORY HEIGHTS HEALTH AND REHAB LLC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Enrollment id
O20141205000327
Associate id
7214259084
Organization name
LONOKE HEALTH AND REHAB CENTER LLC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-12-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Percentage ownership
10
Enrollment id
O20141205000522
Associate id
2264754043
Organization name
LAKEWOOD HEALTH AND REHAB LLC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-12-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Percentage ownership
8
Enrollment id
O20141205001532
Associate id
4688996499
Organization name
CABOT HEALTH AND REHAB LLC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-12-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS
Title - owner
SECRETARY
Percentage ownership
10
Enrollment id
O20141205001532
Associate id
4688996499
Organization name
CABOT HEALTH AND REHAB LLC
Associate id - owner
3072679869
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-12
First name - owner
JERRY
Middle name - owner
D
Last name - owner
SAMS

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