6 Nov 2026

Nursing home operators and staffing, United States

Name: operator_contacts_roles
Creator: Mostly Right
Published: 2026-09-14T21:00:42.557Z

Updated 6 Nov 2026

record_id	ccn	enrollment_id	facility_legal_name	operator_id	operator_name	owner_party_id	owner_party_name	owner_party_kind	owner_type	person_name	role_title	role_code	association_date	ownership_percentage	recruitment_scope	contact_channel	evidence_kind	evidence_text	source_url	source_retrieved_at	attribution
015009\|O20120411000673\|1951562354\|40\|CORPORATE OFFICER	015009	O20120411000673	BURNS NURSING HOME, INC.	∅	∅	1951562354	MARK S DEARMAN	I	I	MARK S DEARMAN	CORPORATE OFFICER	40	2019-12-26	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE OFFICER for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015009\|O20120411000673\|1951562354\|44\|OTHER	015009	O20120411000673	BURNS NURSING HOME, INC.	∅	∅	1951562354	MARK S DEARMAN	I	I	MARK S DEARMAN	OTHER	44	2011-06-13	4.5	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports OTHER for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015009\|O20120411000673\|6204229487\|34\|5% OR GREATER DIRECT OWNERSHIP INTEREST	015009	O20120411000673	BURNS NURSING HOME, INC.	∅	∅	6204229487	CAMERON S DEARMAN	I	I	CAMERON S DEARMAN	5% OR GREATER DIRECT OWNERSHIP INTEREST	34	2012-01-25	4.5	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports 5% OR GREATER DIRECT OWNERSHIP INTEREST for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015009\|O20120411000673\|6204229487\|40\|CORPORATE OFFICER	015009	O20120411000673	BURNS NURSING HOME, INC.	∅	∅	6204229487	CAMERON S DEARMAN	I	I	CAMERON S DEARMAN	CORPORATE OFFICER	40	2019-12-26	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE OFFICER for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015009\|O20120411000673\|9133380538\|34\|5% OR GREATER DIRECT OWNERSHIP INTEREST	015009	O20120411000673	BURNS NURSING HOME, INC.	∅	∅	9133380538	MARTHA B DEARMAN	I	I	MARTHA B DEARMAN	5% OR GREATER DIRECT OWNERSHIP INTEREST	34	1969-09-01	81	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports 5% OR GREATER DIRECT OWNERSHIP INTEREST for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015009\|O20120411000673\|9133380538\|40\|CORPORATE OFFICER	015009	O20120411000673	BURNS NURSING HOME, INC.	∅	∅	9133380538	MARTHA B DEARMAN	I	I	MARTHA B DEARMAN	CORPORATE OFFICER	40	1969-09-01	100	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE OFFICER for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015009\|O20120411000673\|9133380538\|41\|CORPORATE DIRECTOR	015009	O20120411000673	BURNS NURSING HOME, INC.	∅	∅	9133380538	MARTHA B DEARMAN	I	I	MARTHA B DEARMAN	CORPORATE DIRECTOR	41	1969-09-07	100	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE DIRECTOR for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015009\|O20120411000673\|9133380538\|42\|W-2 MANAGING EMPLOYEE	015009	O20120411000673	BURNS NURSING HOME, INC.	∅	∅	9133380538	MARTHA B DEARMAN	I	I	MARTHA B DEARMAN	W-2 MANAGING EMPLOYEE	42	1969-09-01	100	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports W-2 MANAGING EMPLOYEE for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015010\|O20190225001401\|2769376821\|34\|5% OR GREATER DIRECT OWNERSHIP INTEREST	015010	O20190225001401	COOSA VALLEY HEALTHCARE CENTER LLC	∅	∅	2769376821	ARCHIE J. CHAPMAN	I	I	ARCHIE J. CHAPMAN	5% OR GREATER DIRECT OWNERSHIP INTEREST	34	2018-11-16	100	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports 5% OR GREATER DIRECT OWNERSHIP INTEREST for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015010\|O20190225001401\|2769376821\|40\|CORPORATE OFFICER	015010	O20190225001401	COOSA VALLEY HEALTHCARE CENTER LLC	∅	∅	2769376821	ARCHIE J. CHAPMAN	I	I	ARCHIE J. CHAPMAN	CORPORATE OFFICER	40	2018-11-16	100	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE OFFICER for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015010\|O20190225001401\|2769376821\|41\|CORPORATE DIRECTOR	015010	O20190225001401	COOSA VALLEY HEALTHCARE CENTER LLC	∅	∅	2769376821	ARCHIE J. CHAPMAN	I	I	ARCHIE J. CHAPMAN	CORPORATE DIRECTOR	41	2018-11-16	100	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE DIRECTOR for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015010\|O20190225001401\|2769376821\|43\|OPERATIONAL/MANAGERIAL CONTROL	015010	O20190225001401	COOSA VALLEY HEALTHCARE CENTER LLC	∅	∅	2769376821	ARCHIE J. CHAPMAN	I	I	ARCHIE J. CHAPMAN	OPERATIONAL/MANAGERIAL CONTROL	43	2018-11-16	100	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports OPERATIONAL/MANAGERIAL CONTROL for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015010\|O20190225001401\|4981830452\|43\|OPERATIONAL/MANAGERIAL CONTROL	015010	O20190225001401	COOSA VALLEY HEALTHCARE CENTER LLC	∅	∅	4981830452	PRIME MANAGEMENT, LLC	O	O	∅	OPERATIONAL/MANAGERIAL CONTROL	43	2018-11-16	0	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports OPERATIONAL/MANAGERIAL CONTROL for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015012\|O20220519002736\|1658272133\|40\|CORPORATE OFFICER	015012	O20220519002736	HH HEALTH SYSTEM - JACKSON LLC	∅	∅	1658272133	PHILIP BENTLEY	I	I	PHILIP BENTLEY	CORPORATE OFFICER	40	2021-10-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE OFFICER for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015012\|O20220519002736\|5890115133\|40\|CORPORATE OFFICER	015012	O20220519002736	HH HEALTH SYSTEM - JACKSON LLC	∅	∅	5890115133	CLINTON P CARTER	I	I	CLINTON P CARTER	CORPORATE OFFICER	40	2021-10-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE OFFICER for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015012\|O20220519002736\|6608983010\|40\|CORPORATE OFFICER	015012	O20220519002736	HH HEALTH SYSTEM - JACKSON LLC	∅	∅	6608983010	ROBERT MATTHEWS JR	I	I	ROBERT MATTHEWS JR	CORPORATE OFFICER	40	2020-10-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE OFFICER for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015012\|O20220519002736\|6901716083\|40\|CORPORATE OFFICER	015012	O20220519002736	HH HEALTH SYSTEM - JACKSON LLC	∅	∅	6901716083	JOHN ANDERSON	I	I	JOHN ANDERSON	CORPORATE OFFICER	40	2021-10-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE OFFICER for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015012\|O20220519002736\|6901716083\|42\|W-2 MANAGING EMPLOYEE	015012	O20220519002736	HH HEALTH SYSTEM - JACKSON LLC	∅	∅	6901716083	JOHN ANDERSON	I	I	JOHN ANDERSON	W-2 MANAGING EMPLOYEE	42	2021-10-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports W-2 MANAGING EMPLOYEE for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015012\|O20220519002736\|6901716083\|43\|OPERATIONAL/MANAGERIAL CONTROL	015012	O20220519002736	HH HEALTH SYSTEM - JACKSON LLC	∅	∅	6901716083	JOHN ANDERSON	I	I	JOHN ANDERSON	OPERATIONAL/MANAGERIAL CONTROL	43	2021-10-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports OPERATIONAL/MANAGERIAL CONTROL for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015012\|O20220519002736\|7315851284\|34\|5% OR GREATER DIRECT OWNERSHIP INTEREST	015012	O20220519002736	HH HEALTH SYSTEM - JACKSON LLC	∅	∅	7315851284	THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE	O	O	∅	5% OR GREATER DIRECT OWNERSHIP INTEREST	34	2021-10-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports 5% OR GREATER DIRECT OWNERSHIP INTEREST for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015012\|O20220519002736\|7416343967\|40\|CORPORATE OFFICER	015012	O20220519002736	HH HEALTH SYSTEM - JACKSON LLC	∅	∅	7416343967	JOHN CARRIER	I	I	JOHN CARRIER	CORPORATE OFFICER	40	2021-12-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE OFFICER for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015012\|O20220519002736\|7416343967\|42\|W-2 MANAGING EMPLOYEE	015012	O20220519002736	HH HEALTH SYSTEM - JACKSON LLC	∅	∅	7416343967	JOHN CARRIER	I	I	JOHN CARRIER	W-2 MANAGING EMPLOYEE	42	2021-12-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports W-2 MANAGING EMPLOYEE for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015012\|O20220519002736\|7416343967\|43\|OPERATIONAL/MANAGERIAL CONTROL	015012	O20220519002736	HH HEALTH SYSTEM - JACKSON LLC	∅	∅	7416343967	JOHN CARRIER	I	I	JOHN CARRIER	OPERATIONAL/MANAGERIAL CONTROL	43	2021-12-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports OPERATIONAL/MANAGERIAL CONTROL for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015012\|O20220519002736\|7719896992\|40\|CORPORATE OFFICER	015012	O20220519002736	HH HEALTH SYSTEM - JACKSON LLC	∅	∅	7719896992	JEFFREY HOWARD SAMZ	I	I	JEFFREY HOWARD SAMZ	CORPORATE OFFICER	40	2021-10-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE OFFICER for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015012\|O20220519002736\|7719896992\|42\|W-2 MANAGING EMPLOYEE	015012	O20220519002736	HH HEALTH SYSTEM - JACKSON LLC	∅	∅	7719896992	JEFFREY HOWARD SAMZ	I	I	JEFFREY HOWARD SAMZ	W-2 MANAGING EMPLOYEE	42	2021-10-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports W-2 MANAGING EMPLOYEE for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|1052653680\|41\|CORPORATE DIRECTOR	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	1052653680	TYLER ALBRECHTSEN	I	I	TYLER ALBRECHTSEN	CORPORATE DIRECTOR	41	2025-05-01	0	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE DIRECTOR for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|3476460494\|35\|5% OR GREATER INDIRECT OWNERSHIP INTEREST	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	3476460494	THE ENSIGN GROUP INC	O	O	∅	5% OR GREATER INDIRECT OWNERSHIP INTEREST	35	2025-05-01	100	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports 5% OR GREATER INDIRECT OWNERSHIP INTEREST for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|3577089093\|72\|ADP OF THE SNF	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	3577089093	ENSIGN SERVICES INC	O	O	∅	ADP OF THE SNF	72	2025-05-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports ADP OF THE SNF for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|3870022825\|40\|CORPORATE OFFICER	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	3870022825	AMI SATO	I	I	AMI SATO	CORPORATE OFFICER	40	2025-05-01	0	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE OFFICER for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|6103233523\|40\|CORPORATE OFFICER	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	6103233523	HUNTER WILSON	I	I	HUNTER WILSON	CORPORATE OFFICER	40	2025-05-01	0	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE OFFICER for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|6103233523\|43\|OPERATIONAL/MANAGERIAL CONTROL	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	6103233523	HUNTER WILSON	I	I	HUNTER WILSON	OPERATIONAL/MANAGERIAL CONTROL	43	2025-11-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports OPERATIONAL/MANAGERIAL CONTROL for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|6103233523\|63\|MANAGING CONTROL - GOVERNING BODY	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	6103233523	HUNTER WILSON	I	I	HUNTER WILSON	MANAGING CONTROL - GOVERNING BODY	63	2025-05-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports MANAGING CONTROL - GOVERNING BODY for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|6103233523\|72\|ADP OF THE SNF	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	6103233523	HUNTER WILSON	I	I	HUNTER WILSON	ADP OF THE SNF	72	2025-11-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports ADP OF THE SNF for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|6507082955\|40\|CORPORATE OFFICER	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	6507082955	CHAD KEETCH	I	I	CHAD KEETCH	CORPORATE OFFICER	40	2011-03-01	0	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE OFFICER for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|6608862040\|43\|OPERATIONAL/MANAGERIAL CONTROL	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	6608862040	RICKY L FENNELL	I	I	RICKY L FENNELL	OPERATIONAL/MANAGERIAL CONTROL	43	2025-11-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports OPERATIONAL/MANAGERIAL CONTROL for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|6608862040\|63\|MANAGING CONTROL - GOVERNING BODY	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	6608862040	RICKY L FENNELL	I	I	RICKY L FENNELL	MANAGING CONTROL - GOVERNING BODY	63	2025-11-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports MANAGING CONTROL - GOVERNING BODY for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|6608862040\|72\|ADP OF THE SNF	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	6608862040	RICKY L FENNELL	I	I	RICKY L FENNELL	ADP OF THE SNF	72	2025-11-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports ADP OF THE SNF for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|7113440454\|34\|5% OR GREATER DIRECT OWNERSHIP INTEREST	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	7113440454	SOUTHSTONE HEALTHCARE LLC	O	O	∅	5% OR GREATER DIRECT OWNERSHIP INTEREST	34	2025-05-01	100	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports 5% OR GREATER DIRECT OWNERSHIP INTEREST for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|8527544691\|72\|ADP OF THE SNF	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	8527544691	7755 4TH AVENUE S AL LLC	O	O	∅	ADP OF THE SNF	72	2025-12-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports ADP OF THE SNF for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|9739195553\|40\|CORPORATE OFFICER	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	9739195553	SOON BURNAM	I	I	SOON BURNAM	CORPORATE OFFICER	40	2025-05-01	0	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE OFFICER for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015014\|O20260108000817\|9739195553\|63\|MANAGING CONTROL - GOVERNING BODY	015014	O20260108000817	ARRINGTON VALLEY HEALTHCARE, INC.	∅	∅	9739195553	SOON BURNAM	I	I	SOON BURNAM	MANAGING CONTROL - GOVERNING BODY	63	2025-05-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports MANAGING CONTROL - GOVERNING BODY for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015015\|O20020913000015\|6608783436\|34\|5% OR GREATER DIRECT OWNERSHIP INTEREST	015015	O20020913000015	C & G HEALTHCARE SERVICES, INC.	∅	∅	6608783436	CASSIE W BALL	I	I	CASSIE W BALL	5% OR GREATER DIRECT OWNERSHIP INTEREST	34	2002-08-01	25	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports 5% OR GREATER DIRECT OWNERSHIP INTEREST for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015015\|O20020913000015\|8426965252\|34\|5% OR GREATER DIRECT OWNERSHIP INTEREST	015015	O20020913000015	C & G HEALTHCARE SERVICES, INC.	∅	∅	8426965252	GARY V BALL	I	I	GARY V BALL	5% OR GREATER DIRECT OWNERSHIP INTEREST	34	2002-08-01	75	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports 5% OR GREATER DIRECT OWNERSHIP INTEREST for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015015\|O20020913000015\|8426965252\|41\|CORPORATE DIRECTOR	015015	O20020913000015	C & G HEALTHCARE SERVICES, INC.	∅	∅	8426965252	GARY V BALL	I	I	GARY V BALL	CORPORATE DIRECTOR	41	2002-09-13	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE DIRECTOR for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015015\|O20020913000015\|8426965252\|42\|W-2 MANAGING EMPLOYEE	015015	O20020913000015	C & G HEALTHCARE SERVICES, INC.	∅	∅	8426965252	GARY V BALL	I	I	GARY V BALL	W-2 MANAGING EMPLOYEE	42	2002-08-01	∅	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports W-2 MANAGING EMPLOYEE for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015016\|O20151223001358\|0143665471\|41\|CORPORATE DIRECTOR	015016	O20151223001358	ATHENS HEALTH AND REHABILITATION LLC	∅	∅	0143665471	TAMMY COX	I	I	TAMMY COX	CORPORATE DIRECTOR	41	2023-10-23	33	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE DIRECTOR for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015016\|O20151223001358\|0143665471\|43\|OPERATIONAL/MANAGERIAL CONTROL	015016	O20151223001358	ATHENS HEALTH AND REHABILITATION LLC	∅	∅	0143665471	TAMMY COX	I	I	TAMMY COX	OPERATIONAL/MANAGERIAL CONTROL	43	2023-10-23	33	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports OPERATIONAL/MANAGERIAL CONTROL for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015016\|O20151223001358\|0244148765\|35\|5% OR GREATER INDIRECT OWNERSHIP INTEREST	015016	O20151223001358	ATHENS HEALTH AND REHABILITATION LLC	∅	∅	0244148765	JAMES NORMAN ESTES JR TR	O	O	∅	5% OR GREATER INDIRECT OWNERSHIP INTEREST	35	2015-10-06	6.25	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports 5% OR GREATER INDIRECT OWNERSHIP INTEREST for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015016\|O20151223001358\|0547498206\|41\|CORPORATE DIRECTOR	015016	O20151223001358	ATHENS HEALTH AND REHABILITATION LLC	∅	∅	0547498206	LYNN S RASCO	I	I	LYNN S RASCO	CORPORATE DIRECTOR	41	2022-07-01	33	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports CORPORATE DIRECTOR for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services
015016\|O20151223001358\|0547498206\|43\|OPERATIONAL/MANAGERIAL CONTROL	015016	O20151223001358	ATHENS HEALTH AND REHABILITATION LLC	∅	∅	0547498206	LYNN S RASCO	I	I	LYNN S RASCO	OPERATIONAL/MANAGERIAL CONTROL	43	2022-07-01	33	∅	∅	cms_pecos_owner_or_manager_role	CMS PECOS reports OPERATIONAL/MANAGERIAL CONTROL for this facility enrollment.	https://data.cms.gov/data-api/v1/dataset/afe44b85-cc6d-40d7-b5df-00ae8910d1d2/data.csv	∅	Centers for Medicare & Medicaid Services

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