Public record

CMS Home Health Agency All Owners

Associate id: 0547178311 · 34 matching records

Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
0143612697
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
DANIEL
Middle name - owner
J.
Last name - owner
PHELAN
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
1759600844
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-07-25
First name - owner
CHARLES
Last name - owner
MCCLURE
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
2365350139
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-01-01
First name - owner
DAVID
Middle name - owner
F
Last name - owner
SHEPHERD
Title - owner
PRESIDENT/CEO- COMMUNITY CARE SVS
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
2567593841
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-09-01
First name - owner
ROBERT
Middle name - owner
R
Last name - owner
LUBERA
Title - owner
BOARD MEMBER
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
2961822762
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
BARRY
Middle name - owner
G.
Last name - owner
PORTER
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
3072850148
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-10-21
First name - owner
STEVEN
Middle name - owner
BRIAN
Last name - owner
BENDER
Title - owner
SECRETARY
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
3173606159
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-12-01
First name - owner
GERARDO
Last name - owner
NORCIA
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
3779672019
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-07-01
First name - owner
ROBERT
Last name - owner
RINEY
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
3870913676
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
MICHAEL
Last name - owner
RAFFERTY
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
4385132091
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-09-01
First name - owner
JEFFREY
Last name - owner
FALL
Title - owner
BOARD MEMBER
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
4486779626
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-01-01
First name - owner
FARZAN
Last name - owner
SIDDIQUI
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
4789004581
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-01-01
First name - owner
MARJORIE
Last name - owner
STATEN
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
5294223905
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-09-01
First name - owner
RHONDA
Middle name - owner
M
Last name - owner
MEDOWS
Title - owner
BOARD MEMBER
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
5496074585
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-01-01
First name - owner
DAVID
Last name - owner
BREEN
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
5698090389
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-09-01
First name - owner
MARY ANN
Last name - owner
VICTOR
Title - owner
BOARD MEMBER
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
5799118469
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-10-23
First name - owner
MICHAEL
Last name - owner
ELLIS
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
5799118469
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-10-23
First name - owner
MICHAEL
Last name - owner
ELLIS
Title - owner
VP HENRY FORD AT HOME ADMIN
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
5991232563
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-10-01
First name - owner
JASON
Last name - owner
WILLIAMS
Title - owner
VP REIMBURSEMENT
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
5991721326
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-10-01
First name - owner
ANTHONY
Middle name - owner
ROCCO
Last name - owner
TERSIGNI
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
6002171857
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-01-01
First name - owner
ROBIN
Middle name - owner
S.
Last name - owner
DAMSCHRODER
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
6305363516
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
CALVIN
Middle name - owner
R
Last name - owner
FORD
Title - owner
BOARD MEMBER
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
6901179985
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-09-01
First name - owner
GREGORY
Last name - owner
PFLUM
Title - owner
BOARD MEMBER
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
7214464981
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-10-01
Organization name - owner
HENRY FORD HEALTH PARENT
Doing business as name - owner
HENRY FORD HEALTH PARENT
Address line 1 - owner
ONE FORD PLACE
City - owner
DETROIT
State - owner
MI
Zip code - owner
482023450
Percentage ownership
80
Created for acquisition - owner
N
Corporation - owner
Y
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
Y
Other type - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
7214849488
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-01-01
First name - owner
DAVID
Middle name - owner
M
Last name - owner
HEMPSTEAD
Title - owner
BOARD MEMBER
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
7810083847
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-09-01
First name - owner
EDWARD
Middle name - owner
D
Last name - owner
CALLAGHAN
Title - owner
BOARD MEMBER
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
8022423441
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
JOHN
Middle name - owner
F.
Last name - owner
HARRIS
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
8123092517
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-10-23
First name - owner
ROBERT
Last name - owner
BLANZY
Title - owner
FINANCE DIRECTOR
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
8224946835
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-10-01
Organization name - owner
ASCENSION HEALTH
Address line 1 - owner
4600 EDMUNDSON RD
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631343806
Percentage ownership
20
Created for acquisition - owner
N
Corporation - owner
Y
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
Owned by another org or ind - owner
N
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
8325950512
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-01-01
First name - owner
EDGAR
Last name - owner
VANN
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
8921063439
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-09-01
First name - owner
LISA
Last name - owner
FITZPATRICK
Title - owner
BOARD MEMBER
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
9032415708
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-01-01
First name - owner
JOSEPH
Last name - owner
RICHARDSON
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
9133157241
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-09-01
First name - owner
GWENDOLYN
Middle name - owner
M
Last name - owner
MACKENZIE
Title - owner
BOARD MEMBER
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
9234521782
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
JACALYN
Middle name - owner
S.
Last name - owner
GOFORTH
Enrollment id
O20040720000034
Associate id
0547178311
Organization name
HENRY FORD HEALTH SYSTEM
Associate id - owner
9830082163
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-10-01
First name - owner
EUGENE
Middle name - owner
F
Last name - owner
LOVASCO

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