Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 4880874866 · 38 matching records

Enrollment id: O20030828000023
Associate id: 9234040643
Organization name: PEAK MEDICAL ROSWELL LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2024-06-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20030828000023
Associate id: 9234040643
Organization name: PEAK MEDICAL ROSWELL LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-03-16
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20060427000213
Associate id: 2567472103
Organization name: LYNNWOOD HEALTH SERVICES, INC.
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2024-03-21
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20060427000213
Associate id: 2567472103
Organization name: LYNNWOOD HEALTH SERVICES, INC.
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2024-03-21
First name - owner: LISA
Last name - owner: STOLARCZYK
Title - owner: MEDICAL DIRECTOR

Enrollment id: O20060427000213
Associate id: 2567472103
Organization name: LYNNWOOD HEALTH SERVICES, INC.
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-07-05
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20100727000105
Associate id: 2769515881
Organization name: QUALITY HEALTH CARE OF BOTHELL LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2024-06-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20100727000105
Associate id: 2769515881
Organization name: QUALITY HEALTH CARE OF BOTHELL LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2024-06-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20181023001762
Associate id: 6901159813
Organization name: 3514 FOWLER AVENUE OPERATIONS LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2024-06-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20181023001762
Associate id: 6901159813
Organization name: 3514 FOWLER AVENUE OPERATIONS LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-02-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20190604002800
Associate id: 1052644143
Organization name: DESERT SPRINGS HEALTHCARE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2024-02-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20190606002295
Associate id: 5395078331
Organization name: ODELIA HEALTHCARE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2023-09-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20190606002295
Associate id: 5395078331
Organization name: ODELIA HEALTHCARE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-09-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20190606002566
Associate id: 0345573390
Organization name: WHITE SANDS HEALTHCARE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2024-02-07
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20190606002566
Associate id: 0345573390
Organization name: WHITE SANDS HEALTHCARE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2024-02-07
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20190702002333
Associate id: 0143554642
Organization name: LOVINGTON HEALTHCARE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2024-02-07
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20190702002333
Associate id: 0143554642
Organization name: LOVINGTON HEALTHCARE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2024-02-07
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20211221002643
Associate id: 5890186118
Organization name: TAOS HEALTHCARE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2024-03-07
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20220712001127
Associate id: 3870973514
Organization name: FIESTA PARK WELLNESS & REHABILITATION LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-09-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20230418002297
Associate id: 3476928797
Organization name: SUNSET VILLA HEALTHCARE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-12-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20230509002372
Associate id: 8628434032
Organization name: CASA MARIA HEALTHCARE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-12-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20230531001167
Associate id: 0749647196
Organization name: CORONADO CARE CENTER LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2024-03-07
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20230605000368
Associate id: 4688031826
Organization name: PALOMA SPRINGS HEALTHCARE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2024-03-07
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20230616001934
Associate id: 9335507763
Organization name: CASA ARENA HEALTHCARE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-12-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20240705001654
Associate id: 9335683028
Organization name: LAS CRUCES WELLNESS & REHABILITATION LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2024-12-05
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20241220003495
Associate id: 9537696091
Organization name: BETTY DARE WELLNESS & REHABILITATION LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2024-12-20
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20241230002958
Associate id: 1153858352
Organization name: MM OPS ALBUQUERQUE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2024-11-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20241230002958
Associate id: 1153858352
Organization name: MM OPS ALBUQUERQUE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2024-11-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20250304001512
Associate id: 8325569692
Organization name: GRANTS WELLNESS & REHABILITATION LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2024-11-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20250304001512
Associate id: 8325569692
Organization name: GRANTS WELLNESS & REHABILITATION LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2024-11-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20250328002580
Associate id: 2466975511
Organization name: LAS CRUCES VILLAGE NURSING & REHABILITATION LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2024-11-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20250328002580
Associate id: 2466975511
Organization name: LAS CRUCES VILLAGE NURSING & REHABILITATION LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2024-11-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20250822002655
Associate id: 6800396979
Organization name: LUNA VEGA HEALTHCARE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2025-05-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20250822002655
Associate id: 6800396979
Organization name: LUNA VEGA HEALTHCARE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2025-05-01
First name - owner: LISA
Last name - owner: STOLARCZYK
Title - owner: MEDICAL DIRECTOR

Enrollment id: O20250822002655
Associate id: 6800396979
Organization name: LUNA VEGA HEALTHCARE LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-05-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20260123001574
Associate id: 5597242255
Organization name: SPANISH TRAILS WELLNESS & REHABILITATION LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2025-12-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20260123001574
Associate id: 5597242255
Organization name: SPANISH TRAILS WELLNESS & REHABILITATION LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-12-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20260128002945
Associate id: 9638657000
Organization name: NORTHRISE WELLNESS & REHABILITATION LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2025-12-01
First name - owner: LISA
Last name - owner: STOLARCZYK

Enrollment id: O20260128002945
Associate id: 9638657000
Organization name: NORTHRISE WELLNESS & REHABILITATION LLC
Associate id - owner: 4880874866
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-12-01
First name - owner: LISA
Last name - owner: STOLARCZYK

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