Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 9638583818 · 3 matching records

Enrollment id
O20080715000055
Associate id
6204909963
Organization name
MIRIAM OSBORN MEMORIAL HOME ASSOCIATION
Associate id - owner
9638583818
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-09-19
First name - owner
ZENAE
Middle name - owner
M
Last name - owner
MERCHANT
Enrollment id
O20080715000055
Associate id
6204909963
Organization name
MIRIAM OSBORN MEMORIAL HOME ASSOCIATION
Associate id - owner
9638583818
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-09-19
First name - owner
ZENAE
Middle name - owner
M
Last name - owner
MERCHANT
Enrollment id
O20210129000415
Associate id
9830503010
Organization name
THE TERRACE AT CRYSTAL LLC
Associate id - owner
9638583818
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-01-01
First name - owner
ZENAE
Middle name - owner
M
Last name - owner
MERCHANT
Title - owner
ADMINISTRATOR
Percentage ownership
100

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