Public record

CMS Home Health Agency All Owners

Associate id: 0042115008 · 17 matching records

Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
0244566107
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-07-01
First name - owner
JULIA
Last name - owner
PUCHTLER
Percentage ownership
0
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
0244566107
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-07-01
First name - owner
JULIA
Last name - owner
PUCHTLER
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
1254791387
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-26
First name - owner
GENE
Last name - owner
GOFMAN
Title - owner
CFO
Percentage ownership
0
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
2062326507
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1995-06-13
Organization name - owner
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Doing business as name - owner
HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA PHARMACY
Address line 1 - owner
3451 WALNUT ST
Address line 2 - owner
RM 737
City - owner
PHILADELPHIA
State - owner
PA
Zip code - owner
191046245
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
2567368111
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1999-03-01
First name - owner
MICHELE
Last name - owner
VOLPE
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
2567368111
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
1999-03-01
First name - owner
MICHELE
Last name - owner
VOLPE
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
2961481288
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-06-06
First name - owner
KEVIN
Middle name - owner
B
Last name - owner
MAHONEY
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
3476521253
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-05-04
First name - owner
BENJAMIN
Middle name - owner
CHIH-AN
Last name - owner
SUN
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
4082142328
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-09-11
First name - owner
NICOLE
Last name - owner
HOKE
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
5991855975
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-09-15
First name - owner
RENEE
Middle name - owner
CARDWELL
Last name - owner
HUGHES
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
6800058868
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-03-05
First name - owner
SANDRA
Middle name - owner
G
Last name - owner
JOST
Title - owner
ASSOCIATE EXECUTIVE DIRECTOR, CH
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
6800058868
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2012-03-05
First name - owner
SANDRA
Middle name - owner
G
Last name - owner
JOST
Title - owner
ASSOCIATE EXECUTIVE DIRECTOR, CH
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
6800060906
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-06-15
First name - owner
ANN
Last name - owner
CONLIN
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
8224574421
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-06-04
First name - owner
STEVE
Last name - owner
SHIHADEH
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
9335229186
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-07-01
First name - owner
MICHAEL
Last name - owner
ROSSI
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
9436233004
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2000-11-06
First name - owner
JACK
Last name - owner
ENDE
Enrollment id
O20070402000058
Associate id
0042115008
Organization name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Associate id - owner
9436519568
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-09-01
First name - owner
ROBERT
Last name - owner
RUSSELL
Title - owner
BOARD MEMBER
Percentage ownership
0

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