Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 8628200532 · 6 matching records

Enrollment id
O20171002002045
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
8628200532
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-06-01
First name - owner
JEFF
Last name - owner
FLETCHER
Title - owner
ADMINISTRATOR
Percentage ownership
0
Enrollment id
O20171002002045
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
8628200532
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2017-06-01
First name - owner
JEFF
Last name - owner
FLETCHER
Title - owner
ADMINISTRATOR
Enrollment id
O20171002002045
Associate id
2769376326
Organization name
BEAVER VALLEY HOSPITAL
Associate id - owner
8628200532
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2017-06-01
First name - owner
JEFF
Last name - owner
FLETCHER
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
8628200532
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-05-01
First name - owner
JEFF
Last name - owner
FLETCHER
Title - owner
ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
8628200532
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-05-01
First name - owner
JEFF
Last name - owner
FLETCHER
Title - owner
ADMINISTRATOR
Enrollment id
O20240606000577
Associate id
0941742985
Organization name
HOLBROOK HEALTHCARE LLC
Associate id - owner
8628200532
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-10
First name - owner
JEFF
Last name - owner
FLETCHER

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