Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 5597798108 · 30 matching records

Enrollment id
O20090128000487
Associate id
7517021017
Organization name
CHAROLAIS CARE I, INC
Associate id - owner
5597798108
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-11-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
DIRECTOR/MANAGER
Enrollment id
O20090406000222
Associate id
9133283641
Organization name
CHAROLAIS CARE II, INC
Associate id - owner
5597798108
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-11-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
DIRECTOR/MANAGER
Percentage ownership
22.5
Enrollment id
O20090406000222
Associate id
9133283641
Organization name
CHAROLAIS CARE II, INC
Associate id - owner
5597798108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-11-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Enrollment id
O20150219001262
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-09-18
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Enrollment id
O20150219001262
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Enrollment id
O20150219001347
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-09-18
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
DIRECTOR
Enrollment id
O20150219001347
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-09-18
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Enrollment id
O20150219001347
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Enrollment id
O20150225001471
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-09-18
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
DIRECTOR
Enrollment id
O20150225001471
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-09-18
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
DIRECTOR/DBA OPERATOR
Enrollment id
O20150225001471
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Enrollment id
O20150226002210
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-09-18
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
DIRECTOR, DBA OPERATOR
Enrollment id
O20150226002210
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Enrollment id
O20150513000350
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-09-18
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
DIRECTOR, DBA OPERATOR
Enrollment id
O20150513000350
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Enrollment id
O20150521002560
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-09-18
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
DIRECTOR
Enrollment id
O20150521002560
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-09-18
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Enrollment id
O20151029001953
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-01-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
DIRECTOR, DBA OPERATOR
Enrollment id
O20151029001953
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Enrollment id
O20170719002568
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-07-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
DIRECTOR, CASCADES AT RIVERWALK
Enrollment id
O20170719002568
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
5597798108
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2017-07-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Enrollment id
O20210518002767
Associate id
8921407248
Organization name
CASCADES AT JACINTO REHAB, LP
Associate id - owner
5597798108
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-06-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
DIRECTOR/MANAGER
Percentage ownership
25
Enrollment id
O20210518002767
Associate id
8921407248
Organization name
CASCADES AT JACINTO REHAB, LP
Associate id - owner
5597798108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-06-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Enrollment id
O20221229002170
Associate id
8820468242
Organization name
CASCADES AT LINCOLN COUNTY, LLC
Associate id - owner
5597798108
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
DIRECTOR/MANAGER
Percentage ownership
22.5
Enrollment id
O20221229002170
Associate id
8820468242
Organization name
CASCADES AT LINCOLN COUNTY, LLC
Associate id - owner
5597798108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-01-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Enrollment id
O20221229002456
Associate id
2961872395
Organization name
CASCADES AT DESERT VIEW LLC
Associate id - owner
5597798108
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
DIRECTOR/MANAGER
Percentage ownership
22.5
Enrollment id
O20221229002456
Associate id
2961872395
Organization name
CASCADES AT DESERT VIEW LLC
Associate id - owner
5597798108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-01-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
MANAGER
Enrollment id
O20241210004473
Associate id
1355877671
Organization name
CASCADES AT THORNTON CREEK LLC
Associate id - owner
5597798108
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-10-01
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20260706002231
Associate id
0941774467
Organization name
CASCADES AT SKYVIEW LLC
Associate id - owner
5597798108
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2026-05-08
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER
Title - owner
DIRECTOR/MANAGER
Percentage ownership
25
Enrollment id
O20260706002231
Associate id
0941774467
Organization name
CASCADES AT SKYVIEW LLC
Associate id - owner
5597798108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2026-05-08
First name - owner
CHAD
Middle name - owner
B
Last name - owner
FULLMER

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