Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 7012347974 · 3 matching records

Enrollment id
O20260226002845
Associate id
6507347515
Organization name
5377 JAX OPCO LLC
Associate id - owner
7012347974
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-10-31
First name - owner
KEVIN
Last name - owner
BRYANT
Enrollment id
O20260226002845
Associate id
6507347515
Organization name
5377 JAX OPCO LLC
Associate id - owner
7012347974
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-10-31
First name - owner
KEVIN
Last name - owner
BRYANT
Title - owner
ADMINISTRATOR
Enrollment id
O20260226002845
Associate id
6507347515
Organization name
5377 JAX OPCO LLC
Associate id - owner
7012347974
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-10-31
First name - owner
KEVIN
Last name - owner
BRYANT

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