Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 8820063290 · 12 matching records

Enrollment id
O20100517000636
Associate id
9436287174
Organization name
PRAIRIE VILLAGE HEALTHCARE CENTER INC
Associate id - owner
8820063290
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-31
First name - owner
SHERWIN
Last name - owner
RAY
Title - owner
OWNER
Percentage ownership
50
Enrollment id
O20100517000636
Associate id
9436287174
Organization name
PRAIRIE VILLAGE HEALTHCARE CENTER INC
Associate id - owner
8820063290
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-01-01
First name - owner
SHERWIN
Last name - owner
RAY
Title - owner
PRESIDENT
Enrollment id
O20100517000636
Associate id
9436287174
Organization name
PRAIRIE VILLAGE HEALTHCARE CENTER INC
Associate id - owner
8820063290
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-01-01
First name - owner
SHERWIN
Last name - owner
RAY
Enrollment id
O20100603000822
Associate id
8729117585
Organization name
TIMBER POINT HEALTHCARE CENTER INC
Associate id - owner
8820063290
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-31
First name - owner
SHERWIN
Last name - owner
RAY
Title - owner
OWNER
Percentage ownership
50
Enrollment id
O20100603000822
Associate id
8729117585
Organization name
TIMBER POINT HEALTHCARE CENTER INC
Associate id - owner
8820063290
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-01-01
First name - owner
SHERWIN
Last name - owner
RAY
Title - owner
PRESIDENT
Enrollment id
O20100603000822
Associate id
8729117585
Organization name
TIMBER POINT HEALTHCARE CENTER INC
Associate id - owner
8820063290
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-01-01
First name - owner
SHERWIN
Last name - owner
RAY
Enrollment id
O20100603000822
Associate id
8729117585
Organization name
TIMBER POINT HEALTHCARE CENTER INC
Associate id - owner
8820063290
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-01-01
First name - owner
SHERWIN
Last name - owner
RAY
Enrollment id
O20100603000822
Associate id
8729117585
Organization name
TIMBER POINT HEALTHCARE CENTER INC
Associate id - owner
8820063290
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-01-01
First name - owner
SHERWIN
Last name - owner
RAY
Enrollment id
O20150914001187
Associate id
1759698483
Organization name
RUSHVILLE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
8820063290
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-08-01
First name - owner
SHERWIN
Last name - owner
RAY
Title - owner
OWNER
Percentage ownership
60
Enrollment id
O20150914001187
Associate id
1759698483
Organization name
RUSHVILLE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
8820063290
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2015-08-01
First name - owner
SHERWIN
Last name - owner
RAY
Enrollment id
O20220719003143
Associate id
2466833652
Organization name
FARMINGTON VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
8820063290
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-05-01
First name - owner
SHERWIN
Last name - owner
RAY
Percentage ownership
30
Enrollment id
O20220719003143
Associate id
2466833652
Organization name
FARMINGTON VILLAGE NURSING AND REHABILITATION CENTER LLC
Associate id - owner
8820063290
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-13
First name - owner
SHERWIN
Last name - owner
RAY

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