Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 5193703189 · 15 matching records

Enrollment id: O20111208000165
Associate id: 1850379843
Organization name: COOK MANAGEMENT SERVICES INC
Associate id - owner: 5193703189
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2011-11-02
First name - owner: TERRY
Middle name - owner: BUFORD
Last name - owner: COOK
Title - owner: COO

Enrollment id: O20111208000165
Associate id: 1850379843
Organization name: COOK MANAGEMENT SERVICES INC
Associate id - owner: 5193703189
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2013-05-15
First name - owner: TERRY
Middle name - owner: BUFORD
Last name - owner: COOK
Title - owner: COO

Enrollment id: O20111208000165
Associate id: 1850379843
Organization name: COOK MANAGEMENT SERVICES INC
Associate id - owner: 5193703189
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2013-05-15
First name - owner: TERRY
Middle name - owner: BUFORD
Last name - owner: COOK

Enrollment id: O20111208000165
Associate id: 1850379843
Organization name: COOK MANAGEMENT SERVICES INC
Associate id - owner: 5193703189
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2013-05-15
First name - owner: TERRY
Middle name - owner: BUFORD
Last name - owner: COOK
Title - owner: COO

Enrollment id: O20111208000165
Associate id: 1850379843
Organization name: COOK MANAGEMENT SERVICES INC
Associate id - owner: 5193703189
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2013-05-15
First name - owner: TERRY
Middle name - owner: BUFORD
Last name - owner: COOK

Enrollment id: O20130718000465
Associate id: 8729229646
Organization name: PINE LEAF INVESTMENT INC
Associate id - owner: 5193703189
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2013-05-15
First name - owner: TERRY
Middle name - owner: BUFORD
Last name - owner: COOK
Title - owner: COO

Enrollment id: O20130718000465
Associate id: 8729229646
Organization name: PINE LEAF INVESTMENT INC
Associate id - owner: 5193703189
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2013-05-15
First name - owner: TERRY
Middle name - owner: BUFORD
Last name - owner: COOK
Title - owner: COO

Enrollment id: O20130718000465
Associate id: 8729229646
Organization name: PINE LEAF INVESTMENT INC
Associate id - owner: 5193703189
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2013-05-15
First name - owner: TERRY
Middle name - owner: BUFORD
Last name - owner: COOK

Enrollment id: O20130718000465
Associate id: 8729229646
Organization name: PINE LEAF INVESTMENT INC
Associate id - owner: 5193703189
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2013-05-15
First name - owner: TERRY
Middle name - owner: BUFORD
Last name - owner: COOK
Title - owner: COO

Enrollment id: O20130718000465
Associate id: 8729229646
Organization name: PINE LEAF INVESTMENT INC
Associate id - owner: 5193703189
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2013-05-15
First name - owner: TERRY
Middle name - owner: BUFORD
Last name - owner: COOK

Enrollment id: O20130718000620
Associate id: 8729229646
Organization name: PINE LEAF INVESTMENT INC
Associate id - owner: 5193703189
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2013-05-15
First name - owner: TERRY
Middle name - owner: BUFORD
Last name - owner: COOK
Title - owner: COO

Enrollment id: O20130718000620
Associate id: 8729229646
Organization name: PINE LEAF INVESTMENT INC
Associate id - owner: 5193703189
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2013-05-15
First name - owner: TERRY
Middle name - owner: BUFORD
Last name - owner: COOK
Title - owner: COO

Enrollment id: O20130718000620
Associate id: 8729229646
Organization name: PINE LEAF INVESTMENT INC
Associate id - owner: 5193703189
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2013-05-15
First name - owner: TERRY
Middle name - owner: BUFORD
Last name - owner: COOK

Enrollment id: O20130718000620
Associate id: 8729229646
Organization name: PINE LEAF INVESTMENT INC
Associate id - owner: 5193703189
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2013-05-15
First name - owner: TERRY
Middle name - owner: BUFORD
Last name - owner: COOK
Title - owner: COO

Enrollment id: O20130718000620
Associate id: 8729229646
Organization name: PINE LEAF INVESTMENT INC
Associate id - owner: 5193703189
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2013-05-15
First name - owner: TERRY
Middle name - owner: BUFORD
Last name - owner: COOK

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