Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 9830452689 · 5 matching records

Enrollment id
O20110617000635
Associate id
0941488126
Organization name
MODERN SENIOR LIVING LLC
Associate id - owner
9830452689
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-06-20
First name - owner
NICHOLAS
Last name - owner
LEO
Enrollment id
O20110617000635
Associate id
0941488126
Organization name
MODERN SENIOR LIVING LLC
Associate id - owner
9830452689
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-21
First name - owner
NICHOLAS
Last name - owner
LEO
Enrollment id
O20240807002591
Associate id
7517952047
Organization name
WEST WHARTON COUNTY HOSPITAL DISTRICT
Associate id - owner
9830452689
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2026-05-01
First name - owner
NICHOLAS
Last name - owner
LEO
Enrollment id
O20240807002591
Associate id
7517952047
Organization name
WEST WHARTON COUNTY HOSPITAL DISTRICT
Associate id - owner
9830452689
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2026-05-01
First name - owner
NICHOLAS
Last name - owner
LEO
Title - owner
ADMINISTRATOR
Enrollment id
O20240807002591
Associate id
7517952047
Organization name
WEST WHARTON COUNTY HOSPITAL DISTRICT
Associate id - owner
9830452689
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-05-01
First name - owner
NICHOLAS
Last name - owner
LEO

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