Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3870562416 · 4 matching records

Enrollment id
O20151125000865
Associate id
3577863463
Organization name
LEGACY ON 10TH OPCO, LLC
Associate id - owner
3870562416
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2019-07-26
First name - owner
TIMOTHY
Middle name - owner
L
Last name - owner
HESTON
Enrollment id
O20221003002057
Associate id
1254717994
Organization name
BRIGHTON PLACE WEST HEALTH CENTER LLC
Associate id - owner
3870562416
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-08-15
First name - owner
TIMOTHY
Middle name - owner
L
Last name - owner
HESTON
Enrollment id
O20221003002057
Associate id
1254717994
Organization name
BRIGHTON PLACE WEST HEALTH CENTER LLC
Associate id - owner
3870562416
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-06
First name - owner
TIMOTHY
Middle name - owner
L
Last name - owner
HESTON
Enrollment id
O20240404002068
Associate id
6800234220
Organization name
PROVIDENCE OPCO LLC
Associate id - owner
3870562416
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-02-01
First name - owner
TIMOTHY
Middle name - owner
L
Last name - owner
HESTON
Title - owner
MD;

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