Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 4385010495 · 3 matching records

Enrollment id
O20150529002198
Associate id
5698096899
Organization name
OJAI HEALTHIDENCE OPCO LLC
Associate id - owner
4385010495
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-08-01
First name - owner
TEI
Last name - owner
VANDERFORD
Title - owner
AD;
Enrollment id
O20211018002665
Associate id
2567860844
Organization name
WESTLAKE OAKS HEALTHCARE, LLC
Associate id - owner
4385010495
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-12-05
First name - owner
TEI
Last name - owner
VANDERFORD
Title - owner
AD;
Enrollment id
O20240308000500
Associate id
1557707916
Organization name
ANTELOPE VALLEY SNF HEALTHCARE LLC
Associate id - owner
4385010495
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-06-15
First name - owner
TEI
Last name - owner
VANDERFORD
Title - owner
ADMINISTRATOR

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