Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 5496855793 · 11 matching records

Enrollment id: O20040129000042
Associate id: 9830092758
Organization name: LESLIE LAKES CARE CENTER, LLC
Associate id - owner: 5496855793
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2017-05-09
First name - owner: DAVID
Last name - owner: COLVIN

Enrollment id: O20040129000042
Associate id: 9830092758
Organization name: LESLIE LAKES CARE CENTER, LLC
Associate id - owner: 5496855793
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2017-05-09
First name - owner: DAVID
Last name - owner: COLVIN

Enrollment id: O20070207000693
Associate id: 2567464381
Organization name: NW LA WAR VETERANS HOME
Associate id - owner: 5496855793
Type - owner: I
Role code - owner: 25
Role text - owner: CONTRACTED MANAGING EMPLOYEE
Association date - owner: 2021-01-01
First name - owner: DAVID
Last name - owner: COLVIN
Title - owner: MD;
Percentage ownership: 4

Enrollment id: O20070207000693
Associate id: 2567464381
Organization name: NW LA WAR VETERANS HOME
Associate id - owner: 5496855793
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2024-12-26
First name - owner: DAVID
Last name - owner: COLVIN

Enrollment id: O20110509000330
Associate id: 2062698061
Organization name: MAGNOLIA MANOR NURSING & REHAB CNTR LLC
Associate id - owner: 5496855793
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-04-03
First name - owner: DAVID
Last name - owner: COLVIN

Enrollment id: O20190425000544
Associate id: 7113269044
Organization name: PMG OPCO-SPRINGLAKE LLC
Associate id - owner: 5496855793
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-07-02
First name - owner: DAVID
Last name - owner: COLVIN

Enrollment id: O20190426001332
Associate id: 8123360930
Organization name: PMG OPCO-PILGRIM LLC
Associate id - owner: 5496855793
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-04-17
First name - owner: DAVID
Last name - owner: COLVIN

Enrollment id: O20190509001570
Associate id: 0446593644
Organization name: PMG OPCO-COLONIAL LLC
Associate id - owner: 5496855793
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-05-27
First name - owner: DAVID
Last name - owner: COLVIN

Enrollment id: O20190510000057
Associate id: 0143563379
Organization name: PMG OPCO-BRADFORD LLC
Associate id - owner: 5496855793
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-04-15
First name - owner: DAVID
Last name - owner: COLVIN

Enrollment id: O20210728000409
Associate id: 4789087701
Organization name: SHELL LAKE SNF LLC
Associate id - owner: 5496855793
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2025-05-01
First name - owner: DAVID
Last name - owner: COLVIN

Enrollment id: O20210728000409
Associate id: 4789087701
Organization name: SHELL LAKE SNF LLC
Associate id - owner: 5496855793
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-05-01
First name - owner: DAVID
Last name - owner: COLVIN

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