Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 5092087486 · 10 matching records

Enrollment id
O20190826003555
Associate id
4082942263
Organization name
RC NORTH SD SKILLED NURSING FACILITY LLC
Associate id - owner
5092087486
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-01
First name - owner
TRAVIS
Last name - owner
PTACEK
Enrollment id
O20190826003555
Associate id
4082942263
Organization name
RC NORTH SD SKILLED NURSING FACILITY LLC
Associate id - owner
5092087486
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-01
First name - owner
TRAVIS
Last name - owner
PTACEK
Enrollment id
O20190827000849
Associate id
4284962499
Organization name
SAINT CLOUD SD SKILLED NURSING FACILITY, LLC
Associate id - owner
5092087486
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-01
First name - owner
TRAVIS
Last name - owner
PTACEK
Enrollment id
O20190827000849
Associate id
4284962499
Organization name
SAINT CLOUD SD SKILLED NURSING FACILITY, LLC
Associate id - owner
5092087486
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-01
First name - owner
TRAVIS
Last name - owner
PTACEK
Enrollment id
O20190827002851
Associate id
1658609706
Organization name
MOUNTAIN VIEW SD SKILLED NURSING FACILITY LLC
Associate id - owner
5092087486
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-01
First name - owner
TRAVIS
Last name - owner
PTACEK
Enrollment id
O20190827002851
Associate id
1658609706
Organization name
MOUNTAIN VIEW SD SKILLED NURSING FACILITY LLC
Associate id - owner
5092087486
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-01
First name - owner
TRAVIS
Last name - owner
PTACEK
Enrollment id
O20190828003995
Associate id
9032447099
Organization name
ARROWHEAD SD SKILLED NURSING FACILITY LLC
Associate id - owner
5092087486
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-01
First name - owner
TRAVIS
Last name - owner
PTACEK
Enrollment id
O20190828003995
Associate id
9032447099
Organization name
ARROWHEAD SD SKILLED NURSING FACILITY LLC
Associate id - owner
5092087486
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-01
First name - owner
TRAVIS
Last name - owner
PTACEK
Enrollment id
O20231128002935
Associate id
3173971330
Organization name
FOUNTAIN SPRINGS SNF OPERATIONS, LLC
Associate id - owner
5092087486
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
TRAVIS
Last name - owner
PTACEK
Enrollment id
O20231128002935
Associate id
3173971330
Organization name
FOUNTAIN SPRINGS SNF OPERATIONS, LLC
Associate id - owner
5092087486
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
TRAVIS
Last name - owner
PTACEK

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