Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 8921094624 · 20 matching records

Enrollment id: O20150911001940
Associate id: 0547577215
Organization name: GOLDEN OAKS HEALTHCARE, INC.
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2023-02-01
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20150911001940
Associate id: 0547577215
Organization name: GOLDEN OAKS HEALTHCARE, INC.
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 63
Role text - owner: MANAGING CONTROL - GOVERNING BODY
Association date - owner: 2023-02-01
First name - owner: SRINATH
Last name - owner: TADAKAMALLA
Title - owner: MEDICAL DIRECTOR

Enrollment id: O20150911001940
Associate id: 0547577215
Organization name: GOLDEN OAKS HEALTHCARE, INC.
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-02-01
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20200817001639
Associate id: 2163847039
Organization name: IGNITE MEDICAL RESORT INDEPENDENCE LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2020-09-06
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20200817001639
Associate id: 2163847039
Organization name: IGNITE MEDICAL RESORT INDEPENDENCE LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2020-09-06
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20230124001006
Associate id: 7810368156
Organization name: 600 OPCO LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2023-12-12
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20230124001006
Associate id: 7810368156
Organization name: 600 OPCO LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-12-12
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20230124002565
Associate id: 3476924754
Organization name: 801 OPCO LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-02-01
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20230125000610
Associate id: 2365813672
Organization name: 10425 OPCO LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2023-12-12
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20230125000610
Associate id: 2365813672
Organization name: 10425 OPCO LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-12-12
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20230125001329
Associate id: 9335510668
Organization name: 1800 OPCO LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2023-12-12
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20230125001329
Associate id: 9335510668
Organization name: 1800 OPCO LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-12-12
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20230126000650
Associate id: 5395116578
Organization name: 8033 OPCO LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2023-12-12
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20230126002276
Associate id: 0345611554
Organization name: 810 OPCO LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2022-12-12
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20230712003029
Associate id: 7810357670
Organization name: 3RD ST HEALTHCARE LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2023-06-01
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20230712003029
Associate id: 7810357670
Organization name: 3RD ST HEALTHCARE LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-03-26
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20230712003104
Associate id: 1254791015
Organization name: RAYTOWN ROAD HEALTHCARE LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2023-06-01
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20230712003104
Associate id: 1254791015
Organization name: RAYTOWN ROAD HEALTHCARE LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-04-04
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20251209002276
Associate id: 9537653464
Organization name: ASPIRE SENIOR LIVING PLEASANT HILL LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2025-10-01
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

Enrollment id: O20251209002276
Associate id: 9537653464
Organization name: ASPIRE SENIOR LIVING PLEASANT HILL LLC
Associate id - owner: 8921094624
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-10-01
First name - owner: SRINATH
Last name - owner: TADAKAMALLA

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