Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3173651239 · 4 matching records

Enrollment id
O20151125000956
Associate id
2365742251
Organization name
C.R. OF AUTUMN BREEZE, LLC
Associate id - owner
3173651239
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-09-01
First name - owner
CARROL
Middle name - owner
L
Last name - owner
JANES
Enrollment id
O20151125000956
Associate id
2365742251
Organization name
C.R. OF AUTUMN BREEZE, LLC
Associate id - owner
3173651239
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-09-01
First name - owner
CARROL
Middle name - owner
L
Last name - owner
JANES
Enrollment id
O20221208000413
Associate id
5890164172
Organization name
ATLANTA GA OPCO LLC
Associate id - owner
3173651239
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-10-01
First name - owner
CARROL
Middle name - owner
L
Last name - owner
JANES
Title - owner
ADMINISTRATOR
Enrollment id
O20221208000413
Associate id
5890164172
Organization name
ATLANTA GA OPCO LLC
Associate id - owner
3173651239
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-10-01
First name - owner
CARROL
Middle name - owner
L
Last name - owner
JANES
Title - owner
ADMINISTRATOR

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