Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 4789671892 · 4 matching records

Enrollment id
O20111018000814
Associate id
0244402188
Organization name
ON WITH LIFE EXTENDED SERVICES LTD
Associate id - owner
4789671892
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2015-01-01
First name - owner
JIM
Last name - owner
FOREMAN
Percentage ownership
100
Enrollment id
O20111019000356
Associate id
4385553965
Organization name
ON WITH LIFE INC
Associate id - owner
4789671892
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-03-31
First name - owner
JIM
Last name - owner
FOREMAN
Title - owner
CFO
Enrollment id
O20111019000356
Associate id
4385553965
Organization name
ON WITH LIFE INC
Associate id - owner
4789671892
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2014-03-31
First name - owner
JIM
Last name - owner
FOREMAN
Title - owner
CFO
Enrollment id
O20111019000356
Associate id
4385553965
Organization name
ON WITH LIFE INC
Associate id - owner
4789671892
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-03-31
First name - owner
JIM
Last name - owner
FOREMAN
Title - owner
CFO

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