Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 5890203731 · 7 matching records

Enrollment id
O20070619000471
Associate id
2264531037
Organization name
SENIOR CARE FOREST LAKE, LLC
Associate id - owner
5890203731
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-04-01
First name - owner
RYAN
Last name - owner
KING
Enrollment id
O20070619000471
Associate id
2264531037
Organization name
SENIOR CARE FOREST LAKE, LLC
Associate id - owner
5890203731
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-01
First name - owner
RYAN
Last name - owner
KING
Enrollment id
O20070619000518
Associate id
9931208709
Organization name
SENIOR CARE WOODBURY, LLC
Associate id - owner
5890203731
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-04-01
First name - owner
RYAN
Last name - owner
KING
Title - owner
CONTROLLER
Percentage ownership
20
Enrollment id
O20070619000518
Associate id
9931208709
Organization name
SENIOR CARE WOODBURY, LLC
Associate id - owner
5890203731
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-04-01
First name - owner
RYAN
Last name - owner
KING
Enrollment id
O20070619000518
Associate id
9931208709
Organization name
SENIOR CARE WOODBURY, LLC
Associate id - owner
5890203731
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-01
First name - owner
RYAN
Last name - owner
KING
Enrollment id
O20080206000538
Associate id
4385732841
Organization name
SENIOR CARE PROVIDENCE, LLC
Associate id - owner
5890203731
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-04-01
First name - owner
RYAN
Last name - owner
KING
Enrollment id
O20080206000538
Associate id
4385732841
Organization name
SENIOR CARE PROVIDENCE, LLC
Associate id - owner
5890203731
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-01
First name - owner
RYAN
Last name - owner
KING

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