Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 4880606607 · 10 matching records

Enrollment id
O20031007000025
Associate id
8426966557
Organization name
BROOKHAVEN HEALTH CARE FACILITY LLC
Associate id - owner
4880606607
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
TOM
Last name - owner
PHAN
Title - owner
QUALITY ASSURANCE
Percentage ownership
100
Enrollment id
O20031117000383
Associate id
3678487493
Organization name
HARRIS HILL NURSING FACILITY, LLC
Associate id - owner
4880606607
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
TOM
Last name - owner
PHAN
Title - owner
QUALITY ASSURANCE
Percentage ownership
100
Enrollment id
O20050214000583
Associate id
0244282614
Organization name
SUSQUEHANNA NURSING & REHABILITATION CENTER, LLC
Associate id - owner
4880606607
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-01-01
First name - owner
TOM
Last name - owner
PHAN
Title - owner
QUALITY ASSURANCE MANAGER/DE/DEL
Percentage ownership
100
Enrollment id
O20070511000062
Associate id
9638275498
Organization name
ABSOLUT CENTER FOR NURSING AND REHABILITATION AT AURORA PARK, LLC
Associate id - owner
4880606607
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-11-21
First name - owner
TOM
Last name - owner
PHAN
Enrollment id
O20070511000062
Associate id
9638275498
Organization name
ABSOLUT CENTER FOR NURSING AND REHABILITATION AT AURORA PARK, LLC
Associate id - owner
4880606607
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-11-21
First name - owner
TOM
Last name - owner
PHAN
Enrollment id
O20090707000461
Associate id
7618973538
Organization name
AUTUMN VIEW HEALTH CARE FACILITY LLC
Associate id - owner
4880606607
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
TOM
Last name - owner
PHAN
Title - owner
QUALITY ASSURANCE
Percentage ownership
100
Enrollment id
O20090901000461
Associate id
5496751315
Organization name
GARDEN GATE HEALTH CARE FACILITY LLC
Associate id - owner
4880606607
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
TOM
Last name - owner
PHAN
Title - owner
QUALITY ASSURANCE
Percentage ownership
100
Enrollment id
O20090901000493
Associate id
0547266470
Organization name
SENECA HEALTH CARE CENTER LLC
Associate id - owner
4880606607
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
TOM
Last name - owner
PHAN
Title - owner
QUALITY ASSURANCE
Percentage ownership
100
Enrollment id
O20090901000562
Associate id
2567468481
Organization name
NORTH GATE HEALTH CARE FACILITY LLC
Associate id - owner
4880606607
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
TOM
Last name - owner
PHAN
Title - owner
QUALITY ASSURANCE
Percentage ownership
100
Enrollment id
O20100527000772
Associate id
8022146653
Organization name
AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC
Associate id - owner
4880606607
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
TOM
Last name - owner
PHAN
Title - owner
QUALITY ASSURANCE
Percentage ownership
100

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