[{"ENROLLMENT ID":"O20130326000635","ASSOCIATE ID":"9234374091","ORGANIZATION NAME":"HAVEN OF SHOW LOW LLC","ASSOCIATE ID - OWNER":"5395273205","TYPE - OWNER":"O","ROLE CODE - OWNER":"43","ROLE TEXT - OWNER":"OPERATIONAL\/MANAGERIAL CONTROL","ASSOCIATION DATE - OWNER":"2024-12-12","FIRST NAME - OWNER":"","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"CLARK GLOBALMED, LLC","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"10810 N TATUM BLVD","ADDRESS LINE 2 - OWNER":"STE 102","CITY - OWNER":"PHOENIX","STATE - OWNER":"AZ","ZIP CODE - OWNER":"850286056","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"N","LLC - OWNER":"Y","MEDICAL PROVIDER SUPPLIER - OWNER":"N","MANAGEMENT SERVICES COMPANY - OWNER":"N","MEDICAL STAFFING COMPANY - OWNER":"N","HOLDING COMPANY - OWNER":"N","INVESTMENT FIRM - OWNER":"N","FINANCIAL INSTITUTION - OWNER":"N","CONSULTING FIRM - OWNER":"N","FOR PROFIT - OWNER":"N","NON PROFIT - OWNER":"N","PRIVATE EQUITY COMPANY - OWNER":"N","REIT - OWNER":"N","CHAIN HOME OFFICE - OWNER":"N","TRUST OR TRUSTEE - OWNER":"N","OTHER TYPE - OWNER":"N","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20130326000635","ASSOCIATE ID":"9234374091","ORGANIZATION NAME":"HAVEN OF SHOW LOW LLC","ASSOCIATE ID - OWNER":"5395273205","TYPE - OWNER":"O","ROLE CODE - OWNER":"72","ROLE TEXT - OWNER":"ADP OF THE SNF","ASSOCIATION DATE - OWNER":"2025-01-06","FIRST NAME - OWNER":"","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"CLARK GLOBALMED, LLC","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"10810 N TATUM BLVD","ADDRESS LINE 2 - OWNER":"STE 102","CITY - OWNER":"PHOENIX","STATE - OWNER":"AZ","ZIP CODE - OWNER":"850286056","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"N","LLC - OWNER":"Y","MEDICAL PROVIDER SUPPLIER - OWNER":"N","MANAGEMENT SERVICES COMPANY - OWNER":"N","MEDICAL STAFFING COMPANY - OWNER":"N","HOLDING COMPANY - OWNER":"N","INVESTMENT FIRM - OWNER":"N","FINANCIAL INSTITUTION - OWNER":"N","CONSULTING FIRM - OWNER":"N","FOR PROFIT - OWNER":"N","NON PROFIT - OWNER":"N","PRIVATE EQUITY COMPANY - OWNER":"N","REIT - OWNER":"N","CHAIN HOME OFFICE - OWNER":"N","TRUST OR TRUSTEE - OWNER":"N","OTHER TYPE - OWNER":"N","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20150506002578","ASSOCIATE ID":"3971822362","ORGANIZATION NAME":"HAVEN OF LAKESIDE LLC","ASSOCIATE ID - OWNER":"5395273205","TYPE - OWNER":"O","ROLE CODE - OWNER":"43","ROLE TEXT - OWNER":"OPERATIONAL\/MANAGERIAL CONTROL","ASSOCIATION DATE - OWNER":"2025-01-13","FIRST NAME - OWNER":"","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"CLARK GLOBALMED, LLC","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"10810 N TATUM BLVD","ADDRESS LINE 2 - OWNER":"STE 102","CITY - OWNER":"PHOENIX","STATE - OWNER":"AZ","ZIP CODE - OWNER":"850286056","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"N","LLC - OWNER":"N","MEDICAL PROVIDER SUPPLIER - OWNER":"N","MANAGEMENT SERVICES COMPANY - OWNER":"Y","MEDICAL STAFFING COMPANY - OWNER":"N","HOLDING COMPANY - OWNER":"N","INVESTMENT FIRM - OWNER":"N","FINANCIAL INSTITUTION - OWNER":"N","CONSULTING FIRM - OWNER":"N","FOR PROFIT - OWNER":"N","NON PROFIT - OWNER":"N","PRIVATE EQUITY COMPANY - OWNER":"N","REIT - OWNER":"N","CHAIN HOME OFFICE - OWNER":"N","TRUST OR TRUSTEE - OWNER":"N","OTHER TYPE - OWNER":"N","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20150506002578","ASSOCIATE ID":"3971822362","ORGANIZATION NAME":"HAVEN OF LAKESIDE LLC","ASSOCIATE ID - OWNER":"5395273205","TYPE - OWNER":"O","ROLE CODE - OWNER":"72","ROLE TEXT - OWNER":"ADP OF THE SNF","ASSOCIATION DATE - OWNER":"2025-01-13","FIRST NAME - OWNER":"","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"CLARK GLOBALMED, LLC","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"10810 N TATUM BLVD","ADDRESS LINE 2 - OWNER":"STE 102","CITY - OWNER":"PHOENIX","STATE - OWNER":"AZ","ZIP CODE - OWNER":"850286056","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"N","LLC - OWNER":"N","MEDICAL PROVIDER SUPPLIER - OWNER":"N","MANAGEMENT SERVICES COMPANY - OWNER":"Y","MEDICAL STAFFING COMPANY - OWNER":"N","HOLDING COMPANY - OWNER":"N","INVESTMENT FIRM - OWNER":"N","FINANCIAL INSTITUTION - OWNER":"N","CONSULTING FIRM - OWNER":"N","FOR PROFIT - OWNER":"N","NON PROFIT - OWNER":"N","PRIVATE EQUITY COMPANY - OWNER":"N","REIT - OWNER":"N","CHAIN HOME OFFICE - OWNER":"N","TRUST OR TRUSTEE - OWNER":"N","OTHER TYPE - OWNER":"N","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""}]