Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 7113305236 · 4 matching records

Enrollment id
O20080111000629
Associate id
1355422643
Organization name
SENIOR HEALTH-SOUTH HERITAGE, LLC
Associate id - owner
7113305236
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-10-21
First name - owner
SAMANTHA
Middle name - owner
KATHERINE
Last name - owner
WHITE
Enrollment id
O20080111000629
Associate id
1355422643
Organization name
SENIOR HEALTH-SOUTH HERITAGE, LLC
Associate id - owner
7113305236
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-10-21
First name - owner
SAMANTHA
Middle name - owner
KATHERINE
Last name - owner
WHITE
Enrollment id
O20240308001281
Associate id
5092151373
Organization name
6305 CORTEZ RD W OPCO LLC
Associate id - owner
7113305236
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-06-26
First name - owner
SAMANTHA
Middle name - owner
KATHERINE
Last name - owner
WHITE
Enrollment id
O20240308001281
Associate id
5092151373
Organization name
6305 CORTEZ RD W OPCO LLC
Associate id - owner
7113305236
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-06-26
First name - owner
SAMANTHA
Middle name - owner
KATHERINE
Last name - owner
WHITE

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