Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3173968096 · 6 matching records

Enrollment id
O20061221000120
Associate id
5890794879
Organization name
PLEASANT VIEW LUTHER HOME INC
Associate id - owner
3173968096
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-05-01
First name - owner
TERRI
Last name - owner
BLACK
Title - owner
VP OF FINANCIAL OPERATIONS
Percentage ownership
5
Enrollment id
O20061221000120
Associate id
5890794879
Organization name
PLEASANT VIEW LUTHER HOME INC
Associate id - owner
3173968096
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-05-01
First name - owner
TERRI
Last name - owner
BLACK
Enrollment id
O20070507000005
Associate id
0446229876
Organization name
LUTHERAN HOME FOR THE AGED
Associate id - owner
3173968096
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-05-01
First name - owner
TERRI
Last name - owner
BLACK
Title - owner
VP OF FINANCIAL OPERATIONS
Percentage ownership
5
Enrollment id
O20070507000005
Associate id
0446229876
Organization name
LUTHERAN HOME FOR THE AGED
Associate id - owner
3173968096
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-05-01
First name - owner
TERRI
Last name - owner
BLACK
Enrollment id
O20170202001633
Associate id
8022391705
Organization name
LUTHER OAKS INC
Associate id - owner
3173968096
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-05-01
First name - owner
TERRI
Last name - owner
BLACK
Title - owner
VP OF FINANCIAL OPERATIONS
Percentage ownership
5
Enrollment id
O20170202001633
Associate id
8022391705
Organization name
LUTHER OAKS INC
Associate id - owner
3173968096
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-05-01
First name - owner
TERRI
Last name - owner
BLACK

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