Public record

CMS Home Health Agency All Owners

Associate id: 2062326820 · 36 matching records

Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
0244201226
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-08-12
First name - owner
STEFANIE
Last name - owner
GEFROH ELLISON
Title - owner
PRESIDENT
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
0547697765
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
TIM
Middle name - owner
D
Last name - owner
HEILMAN
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
0547748881
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2026-01-01
First name - owner
MARC
Last name - owner
ADAMS
Title - owner
BOARD MEMBER
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
1456839794
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2026-01-01
First name - owner
MARK
Last name - owner
KREJCI
Title - owner
BOARD MEMBER
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
2264962547
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
KIMBERLY
Last name - owner
PLADSON
Title - owner
BOARD MEMBER
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
3173613312
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-07-01
Organization name - owner
ESSENTIA HEALTH
Address line 1 - owner
502 E 2ND ST
City - owner
DULUTH
State - owner
MN
Zip code - owner
558051913
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
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
3870498868
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
JAMES
Middle name - owner
M
Last name - owner
CHRISTENSEN
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
4981605771
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-09-29
First name - owner
KEVIN
Last name - owner
BOREN
Title - owner
TREASURER
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
4981839412
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-05-17
First name - owner
TAYLOR
Middle name - owner
GRANT
Last name - owner
MERTZ
Title - owner
BOARD MEMBER
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
5991235277
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
ANDERSON
Last name - owner
SAINT GEORGES
Title - owner
BOARD MEMBER
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
6103293758
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-07-01
First name - owner
MICHAEL
Last name - owner
WATTERS
Title - owner
SECRETARY
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
6204727191
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-18
First name - owner
ALAN
Middle name - owner
J
Last name - owner
HURLEY
Title - owner
COO
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
6204727191
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-05-18
First name - owner
ALAN
Middle name - owner
J
Last name - owner
HURLEY
Title - owner
COO
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
6800940461
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-05-17
First name - owner
BENJAMIN
Middle name - owner
CODY
Last name - owner
SMITH
Title - owner
BOARD MEMBER
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
7214165901
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-18
First name - owner
DOUGLAS
Middle name - owner
J
Last name - owner
ARVIN
Title - owner
VP OF FINANCE
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
7214165901
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-05-18
First name - owner
DOUGLAS
Middle name - owner
J
Last name - owner
ARVIN
Title - owner
VP OF FINANCE
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
8123162302
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-01-01
First name - owner
LAURIE
Middle name - owner
ANN
Last name - owner
LEWANDOWSKI
Title - owner
BOARD MEMBER
Enrollment id
O20060330000577
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
9931298155
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-01-01
Organization name - owner
INNOVIS HEALTH LLC
Doing business as name - owner
ESSENTIA HEALTH SOUTH UNIVERSITY CLINIC
Address line 1 - owner
3000 32ND AVE S
City - owner
FARGO
State - owner
ND
Zip code - owner
581036132
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
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
0244201226
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-08-12
First name - owner
STEFANIE
Last name - owner
GEFROH ELLISON
Title - owner
PRESIDENT
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
0547697765
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
TIM
Middle name - owner
D
Last name - owner
HEILMAN
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
0547748881
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2026-01-01
First name - owner
MARC
Last name - owner
ADAMS
Title - owner
BOARD MEMBER
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
1456839794
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2026-01-01
First name - owner
MARK
Last name - owner
KREJCI
Title - owner
BOARD MEMBER
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
2264962547
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
KIMBERLY
Last name - owner
PLADSON
Title - owner
BOARD MEMBER
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
3173613312
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-07-01
Organization name - owner
ESSENTIA HEALTH
Address line 1 - owner
502 E 2ND ST
City - owner
DULUTH
State - owner
MN
Zip code - owner
558051913
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
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
3870498868
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
JAMES
Middle name - owner
M
Last name - owner
CHRISTENSEN
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
4981605771
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-09-29
First name - owner
KEVIN
Last name - owner
BOREN
Title - owner
TREASURER
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
4981839412
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-05-17
First name - owner
TAYLOR
Middle name - owner
GRANT
Last name - owner
MERTZ
Title - owner
BOARD MEMBER
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
5991235277
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
ANDERSON
Last name - owner
SAINT GEORGES
Title - owner
BOARD MEMBER
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
6103293758
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-07-01
First name - owner
MICHAEL
Last name - owner
WATTERS
Title - owner
SECRETARY
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
6204727191
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-18
First name - owner
ALAN
Middle name - owner
J
Last name - owner
HURLEY
Title - owner
COO
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
6204727191
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-05-18
First name - owner
ALAN
Middle name - owner
J
Last name - owner
HURLEY
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
6800940461
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-05-17
First name - owner
BENJAMIN
Middle name - owner
CODY
Last name - owner
SMITH
Title - owner
BOARD MEMBER
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
7214165901
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-18
First name - owner
DOUGLAS
Middle name - owner
J
Last name - owner
ARVIN
Title - owner
VP OF FINANCE
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
7214165901
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-05-18
First name - owner
DOUGLAS
Middle name - owner
J
Last name - owner
ARVIN
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
8123162302
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-01-01
First name - owner
LAURIE
Middle name - owner
ANN
Last name - owner
LEWANDOWSKI
Title - owner
BOARD MEMBER
Enrollment id
O20180523000429
Associate id
2062326820
Organization name
ST MARYS REGIONAL HEALTH CENTER
Associate id - owner
9931298155
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-01-01
Organization name - owner
INNOVIS HEALTH LLC
Doing business as name - owner
ESSENTIA HEALTH SOUTH UNIVERSITY CLINIC
Address line 1 - owner
3000 32ND AVE S
City - owner
FARGO
State - owner
ND
Zip code - owner
581036132
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list