January 3, 2020 LICENSED NURSING FACILITY ADMINISTRATORS

Adm. Name

Abdouch, Donald D. Alexander, Anthony L. Atwood, Jacob D. Ayers, Ramona G. Ball, Michael C. Banford, Andrew D. Barrera, Odessa B. Behn, Marc K. Bellaty, Michael A. Bellinger, Frank S. Brantley, Tracy L. Bryson, Stephanie A. Burnette, Rachel L. Bushong, Glenn R. Cartino, June (Madurski) Child, Matthew S. Church, Brigham L. Collier, Jason M. Colpron, Linda A. Cook, Darrin Coons, John R. Copeland, Aaron M. Datt, Laleen M. Davis, Dwayne S. Davis, LaToya L. De Luca, Tobias E. Dewese, Clarissa B. Di Iorio, Nocolas D. Donohue, Sieglinde Dooling, Candace M. Dounis, Georgia Dreyer, Melissa K. Du, Renhe Esquivel, Xavier C. Figueroa, JoAnn B. Flanders, Janee M. Fleegle, Douglas J. Flygare, Brady B. Francois, Nathalie A. Fuller, Jennifer Fuller, Randall P. Gay, Lindsey A. Gelinger, Linda Golightly, Shannon C. Goodfellow, Nicholas P. Gottlieb , Barbara Gray, Zachary S. Grossa, Abby M. Harris, Machelle Harvey, Misty D. Hassen, Laurie M. Higginson, Taylor J. Hills, Daniel R. Hittle, Roger E. Holt, David C.

LICENSED NURSING FACILITY ADMINISTRATORS (NFA) Last Update: March 14, 2022 1:45 p.m.

License No.

602 684 698 789 528 623 748 648 788 295 564 677 755 781 416 774 555 778 744 261 790 753 766 770 741 682 405 769 365 720 359 708 747 711 729 705 756 661 779 434 700 603 217 687 709 501 724 618 464 751 466 676 723 346 757

Status

Active Active Active Provisional Active Active Active Active Provisional Active Active Active Active Active Active Active Active Active Active Active Provisional Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Active Inactive Active Active Active Active Active Active Active Active Active Active Active Active Active

Original License

Date

8/14/2012 4/14/2016 3/8/2017 1/25/2022 8/11/2009 5/7/2013 11/4/2019 9/17/2014 1/20/2022 10/1/1997 3/3/2011 11/2/2015 3/27/2020 9/17/2021 8/6/2004 4/22/2021 8/16/2010 6/24/2021 6/17/2019 8/1/1995 2/14/2022 1/31/2020 10/13/2020 2/23/2021 5/13/2019 2/17/2016 12/22/2003 1/27/2021 11/27/2000 4/25/2018 7/3/2000 7/21/2017 8/27/2019 8/22/2017 12/6/2018 7/10/2017 4/21/2020 3/30/2015 7/13/2021 8/22/2005 4/27/2017 8/20/2012 12/15/1991 7/6/2016 8/7/2017 5/23/2008 9/13/2018 3/20/2013 2/22/2007 12/10/2019 4/5/2007 10/20/2015 8/14/2018 10/15/1999 4/27/2020

License Expiration

Date

3/31/2022 4/30/2022 3/31/2023 4/30/2022 8/31/2023 5/31/2023 11/30/2023 9/30/2022 4/30/1933 10/31/2023 3/31/2023 11/30/2023 3/31/2024 9/30/2023 12/31/2022 4/30/2023 8/31/2022 6/30/2023 6/30/2023 12/31/2023 5/31/2022 1/31/2024 10/31/2022 2/28/2023 5/31/2023 2/28/2024 12/31/2023 1/31/2023 11/30/2022 4/30/2022 7/31/2022 7/31/2023 8/31/2023 8/31/2023 12/31/2022 7/31/2023 4/30/2022 3/31/2023 7/31/2023 8/31/2023 4/30/2023 8/31/2022 12/31/2022 7/31/2022 8/31/2023 5/31/2022 9/30/2022 3/31/2023 2/28/2024 12/31/2023 4/30/2023 10/31/2023 8/31/2022 10/31/2023 4/30/2022

Discip Action

1

1

Adm. Name

Hopkins, Douglas Hribik-Portello, Colomba Hugie, Carl C. Hunt, Johnny C. Hurst, Denene S. Jensen, Rhett P. Johnston, D. Michele Jones, Joline C. Kelly, Ellen P. Kim, Paul M. King, Banjamin A. Lane, Michelle Langevin, Scott R. Laviolette, Kerry Lenz, Mary Ellen Lewis, Eula M. Liebo, Julie Liggins, Audrey F. Livingston, Rachel A. Lomeli-Jimenez, Victor M. Lomibao, Romulo M. Magluilo, Susan K. Maldoven, Troy Martin, Anthony G. Mastrocola, John R. Matangi, Lupeni Mate, Eduardo A. Mathis, Daniel E. Mavromatis, Michael J., Jr. McBride, Herald M. McDonald, Patricia McElwee, Mark M. Messer, Penny L. Mettler, Markus R. Meyer, Lisa M. Minor, Jeffrey R. Modina, Kaitlyn C. Montes, Mistie D. Morella, Anthony J. Murphy, Brian K. Nadora, Marie A. Nicholas, Christopher B. Okekeocha, Helwan Owczarski, Nicole M. Passon, Brett A. Pavlow, Steven R. Pike, Eric C. Preimesberger, James R. Quinones, Eliacim Quintana, Pinky E. Raich, Patricia C. Ramon-Goodwin, Deedee Rance, Aaron D. Rasmusson, Tara J. Rhodes, Matthew A.

LICENSED NURSING FACILITY ADMINISTRATORS (NFA) Last Update: March 14, 2022 1:45 p.m.

License No.

715 391 784 678 704 775 381 384 299 764 787 652 683 392 768 754 710 719 740 574 665 537 401 758 721 735 699 310 643 611 161 762 773 548 717 743 783 771 637 707 791 692 635 712 722 694 504 767 736 647 772 763 654 749 777

Status

Active Active Active Active Active Active Inactive Active Active Active Provisional Active Active Active Active Active Active Suspended Active Active Active Active Active Active Active Active Inactive Active Active Active Active Active Active Active Active Active Active Active Active Active Provisional Active Inactive Active Active Active Active Active Active Active Active Active Active Active Active

Original License

Date

12/7/2017 10/22/2002 11/30/2021 12/23/2015 6/20/2017 4/30/2021 1/21/2002 4/11/2002

1/2/1998 8/21/2020 1/7/2022 11/20/2014 2/22/2016 11/11/2002 1/22/2021 3/5/2020 8/17/2017 4/16/2018 5/13/2019 5/10/2011 5/22/2015 10/1/2009 10/8/2003 5/5/2020 6/13/2018 2/13/2019 4/12/2017 7/7/1998 6/20/2014 1/2/2013 8/26/1985 5/13/2020 4/19/2021 6/25/2010 3/29/2018 6/3/2019 10/5/2021 3/16/2021 3/18/2014 7/12/2017 2/14/2022 8/29/2016 2/20/2014 9/12/2017 6/26/2018 10/26/2016 9/30/2008 11/30/2020 3/22/2019 9/15/2014 3/18/2021 7/15/2020 12/10/2014 11/4/2019 6/21/2021

License Expiration

Date

12/31/2023 10/31/2022 11/30/2023 12/31/2023 6/30/2023 4/30/2023 1/31/2023 4/30/2022 1/31/2024 8/31/2022 4/30/2022 11/30/2022 2/28/2024 11/30/2022 1/31/2023 3/31/2022 8/31/2023 4/30/2022 5/31/2023 5/31/2023 10/31/2022 10/31/2023 10/31/2023 5/31/2022 6/30/2022 2/28/2023 4/30/2022 7/31/2022 6/30/2022 1/31/2023 12/31/2022 5/31/2022 4/30/2023 6/30/2022 3/31/2022 6/30/2023 10/31/2023 3/31/2023 3/31/2024 7/31/2023 5/31/2022 8/31/2022 2/28/2024 9/30/2023 6/30/2022 10/31/2022 9/30/2022 11/30/2022 3/31/2023 9/30/2022 3/31/2023 7/31/2022 12/31/2022 11/30/2023 6/30/2023

Discip Action

2

2

2

Adm. Name

Richards, Lauren A. Roberts, Joshua R. Rowley, Heather K. Runyan, Lori D. Saulietis, Nora Schulz, Mark A. Smith, Adam J. Smith, Fredrick D. Smith, Kathryn W. Stenslie, Chad Stenslie, Michelle Stilwell, Jane L. Sullivan, James E. Swanke, Anne M. Sweeten, Edward Swilley, Shawn A. Tanner, Maurice R. Taylor, Rosema J. Toomey, James Trump, Thomas G. Valenzuela, Tanella G. Wade, Marisa J. Walker, Maya M. War, William I. Webb, Jonathan H. Wedemeyer, Jason D. Weeks, Sheila M. Weiss, Scott D. White, Theresa M. Wilkinson, Mary Ellen Williams, Robbie Wilson, Christine L. Yoshida, Gary K. Zhao, Lan Zollinger, Adam R.

LICENSED NURSING FACILITY ADMINISTRATORS (NFA) Last Update: March 14, 2022 1:45 p.m.

License No.

760 557 776 727 765 495 633 691 675 280 311 612 492 614 174 786 619 617 103 759 671 733 792 598 728 655 508 251 761 228 343 718 785 782 780

Status

Active Active Active Active Active Active Active Inactive Active Active Active Active Active Active Active Active Active Active Active Active Active Active Provisional Active Active Active Active Active Active Active Active Active Active Active Active

Original License

Date

5/12/2020 10/26/2010 5/10/2021 12/3/2018 8/21/2020

4/4/2008 1/10/2014 8/9/2016 10/14/2015 8/1/1996 8/14/1998 2/12/2013 3/20/2008 2/20/2013 12/31/1987 12/21/2021 4/1/2013 3/19/2013 12/1/1979 5/12/2020 9/21/2015 1/16/2019 2/23/2022 7/11/2012 12/3/2018 1/8/2015 12/11/2008 3/17/1995 5/12/2020 4/19/1993 8/6/1999 4/3/2018 12/9/2021 10/4/2021 7/26/2021

License Expiration

Date

5/31/2022 10/31/2022 5/31/2023 12/31/2022 8/31/2022 4/30/2022 1/31/2024 8/31/2022 10/31/2023 5/31/2022 8/31/2022 2/28/2023 3/31/2022 2/28/2023 12/31/2022 12/31/2023 4/30/2023 3/31/2023 12/31/2022 5/31/2022 11/30/2022 1/31/2023 5/31/2022 7/31/2022 12/31/2022 1/31/2023 12/31/2022 12/31/2023 5/31/2022 12/31/2022 8/31/2023 4/30/2022 12/31/2023 10/31/2023 7/31/2023

Discip Action

3

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