Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 4789676750 · 29 matching records

Enrollment id
O20040331000451
Associate id
9537151691
Organization name
COVENANT CARE VEGAS, INC.
Associate id - owner
4789676750
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Percentage ownership
11.3
Enrollment id
O20040331000451
Associate id
9537151691
Organization name
COVENANT CARE VEGAS, INC.
Associate id - owner
4789676750
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-11-01
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Title - owner
EXECUTIVE VICE PRESIDENT
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Percentage ownership
11.3
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-11-01
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Title - owner
EXECUTIVE VICE PRESIDENT
Percentage ownership
0
Enrollment id
O20040810000207
Associate id
9032181128
Organization name
COVENANT CARE CAPITOLA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2006-04-17
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Enrollment id
O20050429000246
Associate id
3971542838
Organization name
COVENANT CARE LA JOLLA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Percentage ownership
11.3
Enrollment id
O20050429000246
Associate id
3971542838
Organization name
COVENANT CARE LA JOLLA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-11-01
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Title - owner
EXECUTIVE VICE PRESIDENT
Enrollment id
O20050429000246
Associate id
3971542838
Organization name
COVENANT CARE LA JOLLA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2006-04-14
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Enrollment id
O20080401000552
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Percentage ownership
11.3
Enrollment id
O20080401000552
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-11-01
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Title - owner
EXECUTIVE VICE PRESIDENT
Percentage ownership
0
Enrollment id
O20080401000552
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2006-04-14
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Enrollment id
O20081020000035
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Percentage ownership
11.3
Enrollment id
O20081020000035
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-11-01
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Title - owner
EXECUTIVE VICE PRESIDENT
Percentage ownership
0
Enrollment id
O20081020000035
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2006-04-14
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Title - owner
MANA
Percentage ownership
0
Enrollment id
O20081020000253
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Percentage ownership
11.3
Enrollment id
O20081020000253
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-11-01
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Title - owner
EXECUTIVE VICE PRESIDENT
Percentage ownership
0
Enrollment id
O20081020000253
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2006-04-14
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Enrollment id
O20081020000273
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Percentage ownership
11.3
Enrollment id
O20081020000273
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-11-01
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Title - owner
EXECUTIVE VICE PRESIDENT
Enrollment id
O20081020000273
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2006-04-14
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Enrollment id
O20081020000361
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Percentage ownership
11.3
Enrollment id
O20081020000361
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-11-01
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Title - owner
EXECUTIVE VICE PRESIDENT
Enrollment id
O20081020000361
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2006-04-14
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Title - owner
MANAGER
Enrollment id
O20081020000395
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Percentage ownership
11.3
Enrollment id
O20081020000395
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-10-01
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Title - owner
EXECUTIVE VICE PRESIDENT
Enrollment id
O20081020000395
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2006-04-14
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Enrollment id
O20081020000475
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-07-17
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Percentage ownership
11.3
Enrollment id
O20081020000475
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-11-01
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Title - owner
EXECUTIVE VICE PRESIDENT
Enrollment id
O20081020000475
Associate id
5597757559
Organization name
COVENANT CARE CALIFORNIA, LLC
Associate id - owner
4789676750
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2006-04-14
First name - owner
MARY
Middle name - owner
A
Last name - owner
EVANS
Title - owner
LIMITED LIABILITY COMPANY MANAGER

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