Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 5092226100 · 6 matching records

Enrollment id
O20171218001695
Associate id
0941568182
Organization name
GALLATIN MANOR LLC
Associate id - owner
5092226100
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-02-17
First name - owner
WARREN
Last name - owner
JACKSON
Enrollment id
O20171218001695
Associate id
0941568182
Organization name
GALLATIN MANOR LLC
Associate id - owner
5092226100
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-02-17
First name - owner
WARREN
Last name - owner
JACKSON
Enrollment id
O20250616003123
Associate id
7416468517
Organization name
MASCOUTAH REHAB AND NURSING LLC
Associate id - owner
5092226100
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-04-01
First name - owner
WARREN
Last name - owner
JACKSON
Enrollment id
O20250616003123
Associate id
7416468517
Organization name
MASCOUTAH REHAB AND NURSING LLC
Associate id - owner
5092226100
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-01
First name - owner
WARREN
Last name - owner
JACKSON
Enrollment id
O20260609000377
Associate id
3577034727
Organization name
WHITE COUNTY REHAB AND NURSING LLC
Associate id - owner
5092226100
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2026-03-01
First name - owner
WARREN
Last name - owner
JACKSON
Enrollment id
O20260609000377
Associate id
3577034727
Organization name
WHITE COUNTY REHAB AND NURSING LLC
Associate id - owner
5092226100
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-03-01
First name - owner
WARREN
Last name - owner
JACKSON

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