Public record

CMS Home Health Agency All Owners

Associate id: 2264338409 · 23 matching records

Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
0244273944
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-06-01
First name - owner
VIVIAN
Last name - owner
WING
Title - owner
BOARD MEMBER
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
0749510196
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-06-01
First name - owner
JACK
Last name - owner
THOMPSON
Title - owner
BOARD MEMBER
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
1052702370
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-10-01
First name - owner
CLAUDIA
Last name - owner
MATTHEWS
Title - owner
CREDENTIALING SUPERVISOR
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
2163655978
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-01-06
First name - owner
TED
Last name - owner
WANG
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
2163804956
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2014-06-29
First name - owner
MARY
Last name - owner
GUGGIA
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
2466585864
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-01-01
First name - owner
STEVEN
Middle name - owner
A
Last name - owner
GREEN
Title - owner
BOARD DIRECTOR
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
2961893284
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-05-09
First name - owner
KATHLEEN
Last name - owner
VILLANUEVA
Title - owner
CREDENTIALING COORDINATOR
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
3678797768
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-01-01
First name - owner
CAROLYN
Middle name - owner
S
Last name - owner
LACEY
Title - owner
BOARD MEMBER
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
4880072560
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-01-01
First name - owner
FATIMA
Last name - owner
ANGELES
Title - owner
BOARD MEMBER
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
5496724379
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-06-01
First name - owner
JOHANNES
Last name - owner
PETERS
Title - owner
BOARD MEMBER
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
5597284968
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-01-01
First name - owner
TRACY
Last name - owner
PORTER
Title - owner
BOARD DIRECTOR
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
5799004230
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-06-01
First name - owner
KATHLEEN
Last name - owner
ODNE
Title - owner
BOARD MEMBER
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
5991886822
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-01-01
First name - owner
CRAIG
Last name - owner
LEACH
Title - owner
BOARD DIRECTOR
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
6002203056
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-06-01
First name - owner
PETER
Last name - owner
WILSON
Title - owner
BOARD MEMBER
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
6103883723
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-09-01
First name - owner
MARK
Middle name - owner
P
Last name - owner
MUSCO
Title - owner
BOARD MEMBER
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
6204166655
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-06-01
First name - owner
ROGER
Last name - owner
BAILEY
Title - owner
BOARD MEMBER
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
6709943905
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-09-01
First name - owner
RAVINDER
Middle name - owner
S.
Last name - owner
HUNDAL
Title - owner
BOARD MEMBER
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
7012247463
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-06-01
First name - owner
ANNE
Last name - owner
GRODIN
Title - owner
BOARD MEMBER
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
7214165489
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-10-01
First name - owner
MICHAEL
Last name - owner
THOMAS
Title - owner
CEO
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
7719232909
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-06-01
First name - owner
JOHN
Middle name - owner
PANCOAST
Last name - owner
HARRIS
Title - owner
BOARD MEMBER
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
7719920602
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-01-01
First name - owner
CHINNAVUTH
Last name - owner
DE MONTEIRO
Title - owner
BOARD
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
8729475777
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-06-01
First name - owner
LAURA
Last name - owner
GALLAGHER
Title - owner
BOARD MEMBER
Enrollment id
O20100907000007
Associate id
2264338409
Organization name
JOHN MUIR HEALTH
Associate id - owner
9830429281
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-06-01
First name - owner
JOHN
Last name - owner
SAYRES

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