Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 9638588239 · 8 matching records

Enrollment id: O20090107000422
Associate id: 8820151582
Organization name: OTTERBEIN MIDDLETOWN LLC
Associate id - owner: 9638588239
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2021-12-01
First name - owner: KOBY
Middle name - owner: MICHAEL
Last name - owner: DIXON

Enrollment id: O20090107000422
Associate id: 8820151582
Organization name: OTTERBEIN MIDDLETOWN LLC
Associate id - owner: 9638588239
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-06-11
First name - owner: KOBY
Middle name - owner: MICHAEL
Last name - owner: DIXON

Enrollment id: O20180705000414
Associate id: 9436405404
Organization name: CT OHIO BELLBROOK, LLC
Associate id - owner: 9638588239
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-01-02
First name - owner: KOBY
Middle name - owner: MICHAEL
Last name - owner: DIXON

Enrollment id: O20180712002510
Associate id: 3072869585
Organization name: CT OHIO ENGLEWOOD LLC
Associate id - owner: 9638588239
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-01-02
First name - owner: KOBY
Middle name - owner: MICHAEL
Last name - owner: DIXON

Enrollment id: O20180713001339
Associate id: 7517213093
Organization name: CT OHIO DAYTON-CENTERVILLE LLC
Associate id - owner: 9638588239
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-01-03
First name - owner: KOBY
Middle name - owner: MICHAEL
Last name - owner: DIXON

Enrollment id: O20190115002695
Associate id: 3072859826
Organization name: MIAMI COV SNF INC
Associate id - owner: 9638588239
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-01-01
First name - owner: KOBY
Middle name - owner: MICHAEL
Last name - owner: DIXON

Enrollment id: O20190130000533
Associate id: 5597002410
Organization name: SPRINGFIELD SNF INC
Associate id - owner: 9638588239
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-01-01
First name - owner: KOBY
Middle name - owner: MICHAEL
Last name - owner: DIXON

Enrollment id: O20190205001357
Associate id: 2769720481
Organization name: SIDNEY SNF INC
Associate id - owner: 9638588239
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-01-01
First name - owner: KOBY
Middle name - owner: MICHAEL
Last name - owner: DIXON

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