Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 4082783964 · 3 matching records

Enrollment id
O20160419002562
Associate id
1153629480
Organization name
460 AUBURN AVENUE LP
Associate id - owner
4082783964
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-05-14
First name - owner
DAVID
Last name - owner
PRESCOTT
Title - owner
ADMINISTRATOR
Enrollment id
O20230713003692
Associate id
0143680736
Organization name
DECATUR CENTER FOR NURSING AND HEALING LLC
Associate id - owner
4082783964
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2026-01-21
First name - owner
DAVID
Last name - owner
PRESCOTT
Enrollment id
O20230713003692
Associate id
0143680736
Organization name
DECATUR CENTER FOR NURSING AND HEALING LLC
Associate id - owner
4082783964
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-01-21
First name - owner
DAVID
Last name - owner
PRESCOTT

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