Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 7517946502 · 30 matching records

Enrollment id
O20040714000856
Associate id
9739168717
Organization name
FULTON MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-11-03
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Title - owner
PRESIDENT
Percentage ownership
100
Enrollment id
O20040714000856
Associate id
9739168717
Organization name
FULTON MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-11-03
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Title - owner
PRESIDENT
Enrollment id
O20040714000856
Associate id
9739168717
Organization name
FULTON MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-11-03
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Title - owner
BOARD MEMBER
Enrollment id
O20040714000856
Associate id
9739168717
Organization name
FULTON MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-12-01
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Enrollment id
O20040714000856
Associate id
9739168717
Organization name
FULTON MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-12-01
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Enrollment id
O20090202000050
Associate id
9537223813
Organization name
INDEPENDENCE MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2014-11-05
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Percentage ownership
100
Enrollment id
O20090202000050
Associate id
9537223813
Organization name
INDEPENDENCE MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-11-03
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Title - owner
PRESIDENT
Enrollment id
O20090202000050
Associate id
9537223813
Organization name
INDEPENDENCE MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-11-11
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Title - owner
BOARD MEMBER
Enrollment id
O20090202000050
Associate id
9537223813
Organization name
INDEPENDENCE MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-11-11
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Enrollment id
O20090202000050
Associate id
9537223813
Organization name
INDEPENDENCE MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-12-01
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Enrollment id
O20090202000101
Associate id
2860556156
Organization name
PLEASANT VALLEY MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1999-01-01
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Percentage ownership
100
Enrollment id
O20090202000101
Associate id
2860556156
Organization name
PLEASANT VALLEY MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-11-03
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Title - owner
PRESIDENT
Enrollment id
O20090202000101
Associate id
2860556156
Organization name
PLEASANT VALLEY MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-11-01
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Title - owner
BOARD MEMBER
Enrollment id
O20090202000101
Associate id
2860556156
Organization name
PLEASANT VALLEY MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-12-01
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Enrollment id
O20090202000101
Associate id
2860556156
Organization name
PLEASANT VALLEY MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-12-01
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Enrollment id
O20111031000195
Associate id
8123291580
Organization name
LIVINGSTON MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-11-03
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Percentage ownership
50
Enrollment id
O20111031000195
Associate id
8123291580
Organization name
LIVINGSTON MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-11-03
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Title - owner
PRESIDENT
Enrollment id
O20111031000195
Associate id
8123291580
Organization name
LIVINGSTON MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-11-03
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Title - owner
BOARD MEMBER
Enrollment id
O20111031000195
Associate id
8123291580
Organization name
LIVINGSTON MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-11-03
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Enrollment id
O20111031000195
Associate id
8123291580
Organization name
LIVINGSTON MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-11-03
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Enrollment id
O20111031000246
Associate id
6002089471
Organization name
WARRENSBURG MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1999-01-01
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Percentage ownership
87.5
Enrollment id
O20111031000246
Associate id
6002089471
Organization name
WARRENSBURG MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-11-03
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Title - owner
PRESIDENT
Enrollment id
O20111031000246
Associate id
6002089471
Organization name
WARRENSBURG MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-11-01
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Title - owner
BOARD MEMBER
Enrollment id
O20111031000246
Associate id
6002089471
Organization name
WARRENSBURG MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-11-03
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Enrollment id
O20111031000246
Associate id
6002089471
Organization name
WARRENSBURG MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-11-03
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Enrollment id
O20111102000271
Associate id
7113190414
Organization name
KIRKSVILLE MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1999-01-01
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Title - owner
PRESIDENT
Percentage ownership
82.5
Enrollment id
O20111102000271
Associate id
7113190414
Organization name
KIRKSVILLE MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-11-03
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Title - owner
PRESIDENT
Enrollment id
O20111102000271
Associate id
7113190414
Organization name
KIRKSVILLE MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-11-03
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Title - owner
BOARD MEMBER
Enrollment id
O20111102000271
Associate id
7113190414
Organization name
KIRKSVILLE MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-12-01
First name - owner
JOYCE E
Last name - owner
JUCKETTE
Enrollment id
O20111102000271
Associate id
7113190414
Organization name
KIRKSVILLE MANOR INC
Associate id - owner
7517946502
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-12-01
First name - owner
JOYCE E
Last name - owner
JUCKETTE

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