Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3476039108 · 3 matching records

Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
3476039108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-04-08
First name - owner
MARK
Last name - owner
PENYACSEK
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
3476039108
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-04-08
First name - owner
MARK
Last name - owner
PENYACSEK
Title - owner
ADMINISTRATOR
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
3476039108
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-04-08
First name - owner
MARK
Last name - owner
PENYACSEK

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