Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 5092728303 · 5 matching records

Enrollment id
O20031209001098
Associate id
6709782873
Organization name
LIBERTY NURSING CENTER OF MANSFIELD, INC.
Associate id - owner
5092728303
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2003-09-16
First name - owner
BRUCE
Middle name - owner
T
Last name - owner
CARPENTER
Title - owner
VICE PRESIDENT
Enrollment id
O20150331002166
Associate id
9638496672
Organization name
LIBERTY NURSING CENTER OF COLERAIN INC
Associate id - owner
5092728303
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2010-11-03
First name - owner
BRUCE
Middle name - owner
T
Last name - owner
CARPENTER
Title - owner
VP, ACCOUNTANT
Enrollment id
O20170612000660
Associate id
1153699327
Organization name
LIBERTY RETIREMENT COMMUNITY OF LIMA INC
Associate id - owner
5092728303
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2017-04-21
First name - owner
BRUCE
Middle name - owner
T
Last name - owner
CARPENTER
Percentage ownership
10
Enrollment id
O20170612000660
Associate id
1153699327
Organization name
LIBERTY RETIREMENT COMMUNITY OF LIMA INC
Associate id - owner
5092728303
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-04-21
First name - owner
BRUCE
Middle name - owner
T
Last name - owner
CARPENTER
Title - owner
V-PRESIDENT, ASST SECRETARY & BO
Enrollment id
O20170612000660
Associate id
1153699327
Organization name
LIBERTY RETIREMENT COMMUNITY OF LIMA INC
Associate id - owner
5092728303
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-04-21
First name - owner
BRUCE
Middle name - owner
T
Last name - owner
CARPENTER
Title - owner
V-PRESIDENT, ASST SECRETARY & BO

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