Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 7911942909 · 10 matching records

Enrollment id
O20140409000039
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
7911942909
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-04-01
First name - owner
MARK
Middle name - owner
L
Last name - owner
MARTINEZ
Enrollment id
O20140409000039
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
7911942909
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-04-01
First name - owner
MARK
Middle name - owner
L
Last name - owner
MARTINEZ
Enrollment id
O20151208001703
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
7911942909
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-04-01
First name - owner
MARK
Middle name - owner
L
Last name - owner
MARTINEZ
Enrollment id
O20151208001703
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
7911942909
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-04-01
First name - owner
MARK
Middle name - owner
L
Last name - owner
MARTINEZ
Enrollment id
O20160921002065
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
7911942909
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-05-30
First name - owner
MARK
Middle name - owner
L
Last name - owner
MARTINEZ
Enrollment id
O20160921002065
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
7911942909
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-05-30
First name - owner
MARK
Middle name - owner
L
Last name - owner
MARTINEZ
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20160921002065
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
7911942909
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-05-30
First name - owner
MARK
Middle name - owner
L
Last name - owner
MARTINEZ
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
7911942909
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-05-01
First name - owner
MARK
Middle name - owner
L
Last name - owner
MARTINEZ
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
7911942909
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-05-01
First name - owner
MARK
Middle name - owner
L
Last name - owner
MARTINEZ
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
7911942909
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-10
First name - owner
MARK
Middle name - owner
L
Last name - owner
MARTINEZ

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