Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 6002827995 · 14 matching records

Enrollment id: O20030729000018
Associate id: 6608787478
Organization name: INTEGRATED HEALTH RESOURCES, LLC
Associate id - owner: 6002827995
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2012-08-01
First name - owner: RANDALL
Middle name - owner: I
Last name - owner: HATA

Enrollment id: O20030729000018
Associate id: 6608787478
Organization name: INTEGRATED HEALTH RESOURCES, LLC
Associate id - owner: 6002827995
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2012-08-01
First name - owner: RANDALL
Middle name - owner: I
Last name - owner: HATA

Enrollment id: O20040526000564
Associate id: 0749261741
Organization name: GARDEN ISLE HEALTHCARE, LLC
Associate id - owner: 6002827995
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2003-12-23
First name - owner: RANDALL
Middle name - owner: I
Last name - owner: HATA

Enrollment id: O20040526000564
Associate id: 0749261741
Organization name: GARDEN ISLE HEALTHCARE, LLC
Associate id - owner: 6002827995
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2003-12-23
First name - owner: RANDALL
Middle name - owner: I
Last name - owner: HATA

Enrollment id: O20110323000349
Associate id: 7315120755
Organization name: HALE KUPUNA HERITAGE HOME, LLC
Associate id - owner: 6002827995
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2009-11-12
First name - owner: RANDALL
Middle name - owner: I
Last name - owner: HATA

Enrollment id: O20110323000349
Associate id: 7315120755
Organization name: HALE KUPUNA HERITAGE HOME, LLC
Associate id - owner: 6002827995
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2009-11-12
First name - owner: RANDALL
Middle name - owner: I
Last name - owner: HATA

Enrollment id: O20150702002610
Associate id: 3678885639
Organization name: LILIHA KUPUNA SNF LLC
Associate id - owner: 6002827995
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2014-12-15
First name - owner: RANDALL
Middle name - owner: I
Last name - owner: HATA

Enrollment id: O20150702002610
Associate id: 3678885639
Organization name: LILIHA KUPUNA SNF LLC
Associate id - owner: 6002827995
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2014-12-15
First name - owner: RANDALL
Middle name - owner: I
Last name - owner: HATA

Enrollment id: O20170207002282
Associate id: 8224311717
Organization name: ANN PEARL CARE HOME INC
Associate id - owner: 6002827995
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2001-10-01
First name - owner: RANDALL
Middle name - owner: I
Last name - owner: HATA
Title - owner: VP/TREASURER/SECRETARY

Enrollment id: O20170207002282
Associate id: 8224311717
Organization name: ANN PEARL CARE HOME INC
Associate id - owner: 6002827995
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2001-10-01
First name - owner: RANDALL
Middle name - owner: I
Last name - owner: HATA
Title - owner: DIRECTOR

Enrollment id: O20170207002282
Associate id: 8224311717
Organization name: ANN PEARL CARE HOME INC
Associate id - owner: 6002827995
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2001-10-01
First name - owner: RANDALL
Middle name - owner: I
Last name - owner: HATA

Enrollment id: O20170207002282
Associate id: 8224311717
Organization name: ANN PEARL CARE HOME INC
Associate id - owner: 6002827995
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2001-10-01
First name - owner: RANDALL
Middle name - owner: I
Last name - owner: HATA

Enrollment id: O20200207000789
Associate id: 5991131120
Organization name: HILO SNF LLC
Associate id - owner: 6002827995
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2020-01-01
First name - owner: RANDALL
Middle name - owner: I
Last name - owner: HATA

Enrollment id: O20200207000789
Associate id: 5991131120
Organization name: HILO SNF LLC
Associate id - owner: 6002827995
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2020-01-01
First name - owner: RANDALL
Middle name - owner: I
Last name - owner: HATA

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