Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 4082907191 · 11 matching records

Enrollment id
O20230708000396
Associate id
1254790215
Organization name
CLAY STREET HEALTHCARE LLC
Associate id - owner
4082907191
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-06-01
First name - owner
ELIZABETH
Middle name - owner
HUDGINS
Last name - owner
MAYLACK
Enrollment id
O20230708000396
Associate id
1254790215
Organization name
CLAY STREET HEALTHCARE LLC
Associate id - owner
4082907191
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-04
First name - owner
ELIZABETH
Middle name - owner
HUDGINS
Last name - owner
MAYLACK
Enrollment id
O20230710001176
Associate id
2163881178
Organization name
MCCUTCHEN RD HEALTHCARE LLC
Associate id - owner
4082907191
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-10-01
First name - owner
ELIZABETH
Middle name - owner
HUDGINS
Last name - owner
MAYLACK
Enrollment id
O20230710001176
Associate id
2163881178
Organization name
MCCUTCHEN RD HEALTHCARE LLC
Associate id - owner
4082907191
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-10
First name - owner
ELIZABETH
Middle name - owner
HUDGINS
Last name - owner
MAYLACK
Enrollment id
O20230710001633
Associate id
1052770963
Organization name
REDMAN RD HEALTHCARE LLC
Associate id - owner
4082907191
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-10-01
First name - owner
ELIZABETH
Middle name - owner
HUDGINS
Last name - owner
MAYLACK
Enrollment id
O20230710001633
Associate id
1052770963
Organization name
REDMAN RD HEALTHCARE LLC
Associate id - owner
4082907191
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-23
First name - owner
ELIZABETH
Middle name - owner
HUDGINS
Last name - owner
MAYLACK
Enrollment id
O20230809001025
Associate id
0547622433
Organization name
CHARIC DR HEALTHCARE LLC
Associate id - owner
4082907191
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-11-01
First name - owner
ELIZABETH
Middle name - owner
HUDGINS
Last name - owner
MAYLACK
Enrollment id
O20230809001025
Associate id
0547622433
Organization name
CHARIC DR HEALTHCARE LLC
Associate id - owner
4082907191
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-07
First name - owner
ELIZABETH
Middle name - owner
HUDGINS
Last name - owner
MAYLACK
Enrollment id
O20231004003221
Associate id
5991150310
Organization name
CLAYTON ROAD HEALTHCARE LLC
Associate id - owner
4082907191
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-03-24
First name - owner
ELIZABETH
Middle name - owner
HUDGINS
Last name - owner
MAYLACK
Enrollment id
O20250305003288
Associate id
6406377530
Organization name
ISLAND HC OPERATIONS LLC
Associate id - owner
4082907191
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-02-01
First name - owner
ELIZABETH
Middle name - owner
HUDGINS
Last name - owner
MAYLACK
Enrollment id
O20250305003288
Associate id
6406377530
Organization name
ISLAND HC OPERATIONS LLC
Associate id - owner
4082907191
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-05-20
First name - owner
ELIZABETH
Middle name - owner
HUDGINS
Last name - owner
MAYLACK

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