Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 9335144971 · 19 matching records

Enrollment id
O20231025003085
Associate id
5496101578
Organization name
LIVINGSTON SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Enrollment id
O20231025003085
Associate id
5496101578
Organization name
LIVINGSTON SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Title - owner
DIVISIONAL DIRECTOR OF OPERATIONS
Enrollment id
O20231025003085
Associate id
5496101578
Organization name
LIVINGSTON SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Title - owner
DIVISIONAL DIRECTOR OF OPERATIONS
Enrollment id
O20231030001829
Associate id
8820444730
Organization name
MISSOULA SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Enrollment id
O20231122002732
Associate id
7618325085
Organization name
PRAIRIE VIEW SNF OPERATIONS, LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Enrollment id
O20231122002732
Associate id
7618325085
Organization name
PRAIRIE VIEW SNF OPERATIONS, LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Title - owner
REGIONAL VP OF OPERATIONS
Enrollment id
O20231122002732
Associate id
7618325085
Organization name
PRAIRIE VIEW SNF OPERATIONS, LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Enrollment id
O20231128003109
Associate id
7113375379
Organization name
PALISADE SNF OPERATIONS, LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Enrollment id
O20231128003109
Associate id
7113375379
Organization name
PALISADE SNF OPERATIONS, LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Title - owner
REGIONAL VP OF OPERATIONS
Enrollment id
O20231128003109
Associate id
7113375379
Organization name
PALISADE SNF OPERATIONS, LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Title - owner
REGIONAL DIRECTOR OF OPERATIONS
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Enrollment id
O20240207000515
Associate id
2163865171
Organization name
POLSON SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Percentage ownership
0
Enrollment id
O20240325002517
Associate id
6406293562
Organization name
HOT SPRINGS SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Enrollment id
O20240325002517
Associate id
6406293562
Organization name
HOT SPRINGS SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS
Title - owner
DIVISIONAL DIRECTOR OF OPERATIONS
Enrollment id
O20240325002517
Associate id
6406293562
Organization name
HOT SPRINGS SNF OPERATIONS LLC
Associate id - owner
9335144971
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-08-31
First name - owner
DONALD
Middle name - owner
RANDOLPH
Last name - owner
CHEEKS

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