Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 6507776325 · 14 matching records

Enrollment id: O20070717000124
Associate id: 6608783543
Organization name: LIFE CARE CENTERS OF AMERICA, INC.
Associate id - owner: 6507776325
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2025-03-03
First name - owner: THOMAS
Middle name - owner: T
Last name - owner: TACKETT

Enrollment id: O20070717000124
Associate id: 6608783543
Organization name: LIFE CARE CENTERS OF AMERICA, INC.
Associate id - owner: 6507776325
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2025-03-03
First name - owner: THOMAS
Middle name - owner: T
Last name - owner: TACKETT
Title - owner: ADMINISTRATOR

Enrollment id: O20070717000124
Associate id: 6608783543
Organization name: LIFE CARE CENTERS OF AMERICA, INC.
Associate id - owner: 6507776325
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-04-07
First name - owner: THOMAS
Middle name - owner: T
Last name - owner: TACKETT

Enrollment id: O20161024001462
Associate id: 6305124561
Organization name: THE WATERS OF SHELBYVILLE, LLC
Associate id - owner: 6507776325
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2019-05-16
First name - owner: THOMAS
Middle name - owner: T
Last name - owner: TACKETT
Title - owner: ADMINISTRATOR
Percentage ownership: 0

Enrollment id: O20181018001337
Associate id: 5395097489
Organization name: SUNRISE MANOR OPCO LLC
Associate id - owner: 6507776325
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2022-08-01
First name - owner: THOMAS
Middle name - owner: T
Last name - owner: TACKETT
Title - owner: REGIONAL DIRECTOR
Percentage ownership: 33

Enrollment id: O20181019000001
Associate id: 0648523779
Organization name: STANTON HEALTH CENTER LLC
Associate id - owner: 6507776325
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2022-08-01
First name - owner: THOMAS
Middle name - owner: T
Last name - owner: TACKETT
Title - owner: REGIONAL DIRECTOR
Percentage ownership: 33

Enrollment id: O20181020000043
Associate id: 4880947860
Organization name: SPRINGFIELD HEALTH CENTER LLC
Associate id - owner: 6507776325
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2022-08-01
First name - owner: THOMAS
Middle name - owner: T
Last name - owner: TACKETT
Title - owner: REGIONAL DIRECTOR
Percentage ownership: 33

Enrollment id: O20181020000109
Associate id: 5698028678
Organization name: IRVINE OPERATING COMPANY LLC
Associate id - owner: 6507776325
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2022-08-01
First name - owner: THOMAS
Middle name - owner: T
Last name - owner: TACKETT
Title - owner: REGIONAL DIRECTOR
Percentage ownership: 33

Enrollment id: O20181020000155
Associate id: 1951654938
Organization name: SALYERSVILLE HEALTH OPERATING COMPANY LLC
Associate id - owner: 6507776325
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2022-08-01
First name - owner: THOMAS
Middle name - owner: T
Last name - owner: TACKETT
Title - owner: REGIONAL DIRECTOR
Percentage ownership: 33

Enrollment id: O20181020000287
Associate id: 1658624630
Organization name: HARDINSBURG HEALTH CENTER LLC
Associate id - owner: 6507776325
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2023-09-12
First name - owner: THOMAS
Middle name - owner: T
Last name - owner: TACKETT
Title - owner: REGIONAL DIRECTOR

Enrollment id: O20181020000345
Associate id: 2466705447
Organization name: BRANDENBURG OPCO LLC
Associate id - owner: 6507776325
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2022-08-01
First name - owner: THOMAS
Middle name - owner: T
Last name - owner: TACKETT
Title - owner: REGIONAL DIRECTOR
Percentage ownership: 33

Enrollment id: O20181029001469
Associate id: 1153674726
Organization name: PEMBROKE OPERATING COMPANY LLC
Associate id - owner: 6507776325
Type - owner: I
Role code - owner: 25
Role text - owner: CONTRACTED MANAGING EMPLOYEE
Association date - owner: 2023-09-12
First name - owner: THOMAS
Middle name - owner: T
Last name - owner: TACKETT
Title - owner: REGIONAL DIRECTOR/MED DIRECTOR

Enrollment id: O20181029001776
Associate id: 4385997964
Organization name: MORGANFIELD OPCO LLC
Associate id - owner: 6507776325
Type - owner: I
Role code - owner: 25
Role text - owner: CONTRACTED MANAGING EMPLOYEE
Association date - owner: 2023-09-12
First name - owner: THOMAS
Middle name - owner: T
Last name - owner: TACKETT
Title - owner: DIRECTOR
Percentage ownership: 33

Enrollment id: O20181106001986
Associate id: 4284988478
Organization name: WOODCREST OPERATING COMPANY LLC
Associate id - owner: 6507776325
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2022-08-01
First name - owner: THOMAS
Middle name - owner: T
Last name - owner: TACKETT
Title - owner: REGIONAL DIRECTOR
Percentage ownership: 33

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