Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 7113945874 · 14 matching records

Enrollment id: O20030903000013
Associate id: 4082525324
Organization name: SOVEREIGN HEALTHCARE OF ORANGE CITY LLC
Associate id - owner: 7113945874
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2023-04-01
First name - owner: HUSAM
Middle name - owner: E
Last name - owner: EDDIN

Enrollment id: O20030903000013
Associate id: 4082525324
Organization name: SOVEREIGN HEALTHCARE OF ORANGE CITY LLC
Associate id - owner: 7113945874
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-04-01
First name - owner: HUSAM
Middle name - owner: E
Last name - owner: EDDIN

Enrollment id: O20030903000016
Associate id: 5890606131
Organization name: SOVEREIGN HEALTHCARE OF PORT ORANGE LLC
Associate id - owner: 7113945874
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2022-10-11
First name - owner: HUSAM
Middle name - owner: E
Last name - owner: EDDIN

Enrollment id: O20030903000016
Associate id: 5890606131
Organization name: SOVEREIGN HEALTHCARE OF PORT ORANGE LLC
Associate id - owner: 7113945874
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2022-10-11
First name - owner: HUSAM
Middle name - owner: E
Last name - owner: EDDIN

Enrollment id: O20151228001479
Associate id: 7618278110
Organization name: SOLARIS HEALTHCARE DAYTONA LLC
Associate id - owner: 7113945874
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-10-09
First name - owner: HUSAM
Middle name - owner: E
Last name - owner: EDDIN

Enrollment id: O20201103001766
Associate id: 3173933199
Organization name: COASTAL CENTER OPERATIONS LLC
Associate id - owner: 7113945874
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2022-05-11
First name - owner: HUSAM
Middle name - owner: E
Last name - owner: EDDIN

Enrollment id: O20201103001766
Associate id: 3173933199
Organization name: COASTAL CENTER OPERATIONS LLC
Associate id - owner: 7113945874
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-09-26
First name - owner: HUSAM
Middle name - owner: E
Last name - owner: EDDIN

Enrollment id: O20220907000876
Associate id: 6002290228
Organization name: BEDROCK HCS AT DAYTONA FL LLC
Associate id - owner: 7113945874
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2021-10-16
First name - owner: HUSAM
Middle name - owner: E
Last name - owner: EDDIN

Enrollment id: O20220907000876
Associate id: 6002290228
Organization name: BEDROCK HCS AT DAYTONA FL LLC
Associate id - owner: 7113945874
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2021-10-16
First name - owner: HUSAM
Middle name - owner: E
Last name - owner: EDDIN

Enrollment id: O20221219000157
Associate id: 1456720226
Organization name: ATHENS POST ACUTE LLC
Associate id - owner: 7113945874
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2023-01-01
First name - owner: HUSAM
Middle name - owner: E
Last name - owner: EDDIN

Enrollment id: O20221219000157
Associate id: 1456720226
Organization name: ATHENS POST ACUTE LLC
Associate id - owner: 7113945874
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-01-01
First name - owner: HUSAM
Middle name - owner: E
Last name - owner: EDDIN

Enrollment id: O20221229000261
Associate id: 3274903653
Organization name: BLUE LAKE POST ACUTE LLC
Associate id - owner: 7113945874
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2023-01-01
First name - owner: HUSAM
Middle name - owner: E
Last name - owner: EDDIN

Enrollment id: O20221229000261
Associate id: 3274903653
Organization name: BLUE LAKE POST ACUTE LLC
Associate id - owner: 7113945874
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-01-01
First name - owner: HUSAM
Middle name - owner: E
Last name - owner: EDDIN

Enrollment id: O20240624004380
Associate id: 9335682921
Organization name: BEACHSIDE OPCO LLC
Associate id - owner: 7113945874
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2024-01-11
First name - owner: HUSAM
Middle name - owner: E
Last name - owner: EDDIN

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