Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 6204857410 · 9 matching records

Enrollment id
O20151120002749
Associate id
5395045405
Organization name
FAIRHAVEN OPCO, LLC
Associate id - owner
6204857410
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-07-31
First name - owner
EDDY
Middle name - owner
R
Last name - owner
STOCKTON
Enrollment id
O20151120002749
Associate id
5395045405
Organization name
FAIRHAVEN OPCO, LLC
Associate id - owner
6204857410
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-07-31
First name - owner
EDDY
Middle name - owner
R
Last name - owner
STOCKTON
Title - owner
CHAIRMAN
Enrollment id
O20151120002749
Associate id
5395045405
Organization name
FAIRHAVEN OPCO, LLC
Associate id - owner
6204857410
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-07-31
First name - owner
EDDY
Middle name - owner
R
Last name - owner
STOCKTON
Enrollment id
O20170831002141
Associate id
2062785793
Organization name
IRONTON OPCO INC
Associate id - owner
6204857410
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-07-31
First name - owner
EDDY
Middle name - owner
R
Last name - owner
STOCKTON
Enrollment id
O20170831002141
Associate id
2062785793
Organization name
IRONTON OPCO INC
Associate id - owner
6204857410
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-07-31
First name - owner
EDDY
Middle name - owner
R
Last name - owner
STOCKTON
Title - owner
CHAIRMAN
Enrollment id
O20170831002141
Associate id
2062785793
Organization name
IRONTON OPCO INC
Associate id - owner
6204857410
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-07-31
First name - owner
EDDY
Middle name - owner
R
Last name - owner
STOCKTON
Enrollment id
O20201103002052
Associate id
2769892793
Organization name
PROVIDENCE POINT HEALTHCARE INC
Associate id - owner
6204857410
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-07-31
First name - owner
EDDY
Middle name - owner
R
Last name - owner
STOCKTON
Enrollment id
O20201103002052
Associate id
2769892793
Organization name
PROVIDENCE POINT HEALTHCARE INC
Associate id - owner
6204857410
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-07-31
First name - owner
EDDY
Middle name - owner
R
Last name - owner
STOCKTON
Title - owner
CHAIRMAN
Enrollment id
O20201103002052
Associate id
2769892793
Organization name
PROVIDENCE POINT HEALTHCARE INC
Associate id - owner
6204857410
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-07-31
First name - owner
EDDY
Middle name - owner
R
Last name - owner
STOCKTON

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list