Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 4486130119 · 3 matching records

Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
4486130119
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-12-02
First name - owner
ALEXINE
Last name - owner
AZOREZ
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
4486130119
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-12-02
First name - owner
ALEXINE
Last name - owner
AZOREZ
Title - owner
DIRECTOR OF NURSING
Enrollment id
O20111031000783
Associate id
8527231935
Organization name
SKYLINE SAN JOSE OPERATING COMPANY LP
Associate id - owner
4486130119
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-02
First name - owner
ALEXINE
Last name - owner
AZOREZ

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