Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3779625447 · 42 matching records

Enrollment id
O20030804000036
Associate id
5395656011
Organization name
PARK WAVERLY HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER
Percentage ownership
0
Enrollment id
O20030805000007
Associate id
2961313689
Organization name
NORTH MOUNTAIN HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER
Enrollment id
O20030805000014
Associate id
6204747934
Organization name
SUNLAND HEALTH ASSOCIATES, LLC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER
Percentage ownership
0
Enrollment id
O20040709000272
Associate id
9739167594
Organization name
RADIANT HILLS HEALTH ASSOCIATES LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER
Percentage ownership
0
Enrollment id
O20070103000082
Associate id
7214937903
Organization name
RENEWCARE OF SCOTTSDALE, INC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-09-25
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
DIRECTOR RENEWCARE OF SCOTTSDALE
Enrollment id
O20100126000533
Associate id
7517874530
Organization name
24TH STREET HEALTHCARE ASSOCIATES LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20120320000961
Associate id
7214197722
Organization name
ENSIGN SABINO LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-09-09
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER
Enrollment id
O20130220000008
Associate id
2769392547
Organization name
PRESIDIO HEALTH ASSOCIATES LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER
Enrollment id
O20140407000213
Associate id
8325270341
Organization name
SENTINEL PEAK HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-02-18
First name - owner
FORREST
Last name - owner
PETERSON
Enrollment id
O20140508001069
Associate id
8628201035
Organization name
VIEWPOINT HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
PRESIDENT BANDERA, MANAGER VIEWPOIN
Percentage ownership
0
Enrollment id
O20150720001717
Associate id
5092028043
Organization name
DA VINCI HEALTHCARE, INC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE DIRECTOR DA VINCI HEALTHCARE
Enrollment id
O20150825002895
Associate id
1254647076
Organization name
TORTOLITA HEALTHCARE, INC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE DIRECTOR TORTILITA HEALTHCARE
Enrollment id
O20150825003721
Associate id
6709192545
Organization name
ECHO CANYON HEALTHCARE, INC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
DIRECTOR ECHO CANYON HEALTHCARE, IN
Percentage ownership
0
Enrollment id
O20150826002249
Associate id
7911213673
Organization name
LAKE PLEASANT HEALTHCARE INC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
DIRECTOR LAKE PLEASANT HEALTHCARE
Percentage ownership
0
Enrollment id
O20150827001831
Associate id
8426364043
Organization name
HIGLEY HEALTHCARE, INC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE DIRECTOR
Percentage ownership
0
Enrollment id
O20150827002099
Associate id
8022324656
Organization name
AZTEC HEALTHCARE, INC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
DIRECTOR AZTEC HEALTHCARE, INC.
Percentage ownership
0
Enrollment id
O20150828001882
Associate id
9133435654
Organization name
WATSON WOODS HEALTHCARE, INC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE DIRECTOR
Percentage ownership
0
Enrollment id
O20151124000861
Associate id
2860792884
Organization name
DESERT COVE HEALTHCARE, INC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE DIRECTOR DESERT COVE HEALTHCAR
Enrollment id
O20151124001018
Associate id
9739489758
Organization name
OCOTILLO HEALTHCARE INC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE DIRECTOR OCOTILLO HEALTHCARE
Enrollment id
O20160921000014
Associate id
7911294822
Organization name
ROCK HILL HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER
Enrollment id
O20160921000112
Associate id
5991092801
Organization name
SOUTHERN CHARM HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER SOUTHERN CHARM HEALTHC
Percentage ownership
0
Enrollment id
O20160921000710
Associate id
0749577674
Organization name
CAROLINA HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
HOPEWELL PRES, CAROLINA HC MANAGER
Percentage ownership
0
Enrollment id
O20171003006738
Associate id
8628343555
Organization name
RED MOUNTAIN HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-06-13
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER RED MOUNTAIN HEALTHCAR
Percentage ownership
0
Enrollment id
O20171005002495
Associate id
5698040392
Organization name
WILLOW CANYON HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2022-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER
Enrollment id
O20180525000138
Associate id
2769747617
Organization name
APACHE TRAIL HEALTHCARE, INC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-03-27
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE DIRECTOR APACHE TRAIL HEALTHCA
Enrollment id
O20190425002721
Associate id
0840532602
Organization name
LOOKOUT MOUNTAIN HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER
Enrollment id
O20190509001624
Associate id
6709129901
Organization name
GOLDFIELD MOUNTAIN HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-04-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER
Percentage ownership
0
Enrollment id
O20190509001810
Associate id
0749523942
Organization name
SUNRISE MOUNTAIN HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-09-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER OF SUNRISE MOUNTAIN HE
Percentage ownership
0
Enrollment id
O20190813002318
Associate id
9032446059
Organization name
LUDDEN HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-08-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER LUDDEN HEALTHCARE LLC
Percentage ownership
0
Enrollment id
O20200109002685
Associate id
1557796042
Organization name
ROYAL VIEW HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-08-14
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
PRESIDENT BANDERA, MANAGER BAYSIDE
Percentage ownership
0
Enrollment id
O20200714002324
Associate id
4880017581
Organization name
WESTERN CANAL HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-04-20
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER WESTERN CANAL HEALTHCA
Percentage ownership
0
Enrollment id
O20211230002072
Associate id
2668863689
Organization name
COLDWATER SPRINGS HEALTHCARE, INC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-11-05
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
DIRECTOR COLDWATER SPRINGS HEALT
Enrollment id
O20220831002814
Associate id
6709260334
Organization name
MOUNT LEMMON HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-05-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER OF MOUNT LEMMON HEALTH
Percentage ownership
0
Enrollment id
O20221028002718
Associate id
3870960180
Organization name
BLUEBIRD HEALTHCARE, INC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
DIRECTOR BLUEBIRD HEALTHCARE, INC.
Enrollment id
O20221028002781
Associate id
8123495439
Organization name
STARLING HEALTHCARE, INC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
DIRECTOR STARLING HEALTHCARE, INC.
Enrollment id
O20230103003038
Associate id
3274903414
Organization name
KINGSTON FALLS HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-11-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
HOPEWELL PRESIDENT, KINGSTON MGR
Percentage ownership
0
Enrollment id
O20231017003917
Associate id
8527413129
Organization name
RAILROAD CROSSING HEALTHCARE, INC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
DIRECTOR RAILROAD CROSSING HEALTHCA
Enrollment id
O20240404001955
Associate id
1759729171
Organization name
ORANGE GROVE HEALTHCARE INC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-01-01
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
DIRECTOR ORANGE GROVE HEALTHCARE
Enrollment id
O20240621001710
Associate id
9537602255
Organization name
HARBOR MESA HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-04-10
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
SOLE MANAGER HARBOR MESA HEALTHCARE
Percentage ownership
0
Enrollment id
O20250605002976
Associate id
6507376910
Organization name
SALT CREEK HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-07-22
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
BANDERA PRES, SALT CREEK MANAGER
Percentage ownership
0
Enrollment id
O20250605003150
Associate id
8224548649
Organization name
ONE HOPE HEALTHCARE LLC
Associate id - owner
3779625447
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-09-13
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
BANDERA PRESIDENT, ONE HOPE MANAGER
Percentage ownership
0
Enrollment id
O20260303003392
Associate id
4082196654
Organization name
RILLITO RIVER HEALTHCARE, INC.
Associate id - owner
3779625447
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-05-09
First name - owner
FORREST
Last name - owner
PETERSON
Title - owner
DIRECTOR RILLITO RIVER HEALTHCARE,
Percentage ownership
0

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