Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 5193083509 · 2 matching records

Enrollment id
O20060706000364
Associate id
6002828415
Organization name
PRUITTHEALTH - SANTA ROSA, LLC
Associate id - owner
5193083509
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-09-20
First name - owner
JESSICA
Last name - owner
CAMPOSAGRADO
Title - owner
FACILITY ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20260121000804
Associate id
8729565866
Organization name
ENDEAR CARE NURSING LLC
Associate id - owner
5193083509
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-12-01
First name - owner
JESSICA
Last name - owner
CAMPOSAGRADO

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