Public record

CMS Home Health Agency All Owners

Associate id: 3072424027 · 21 matching records

Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
0648531624
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-07-28
First name - owner
LOUIS
Middle name - owner
C
Last name - owner
CASENTINO
Title - owner
TREASURER BOARD OF DIRECTORS
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
0648531624
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-07-28
First name - owner
LOUIS
Middle name - owner
C
Last name - owner
CASENTINO
Title - owner
BOARD MEMBER
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
2062772148
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-07-28
First name - owner
REGINA
Last name - owner
TANCREDI
Title - owner
SECRETARY BOARD OF DIRECTORS
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
2062772148
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-09-11
First name - owner
REGINA
Last name - owner
TANCREDI
Title - owner
DIRECTOR QUALITY AND COMPLIANCE
Percentage ownership
100
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
2668733643
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-11-01
First name - owner
DARIUS
Middle name - owner
P
Last name - owner
CHAFIZADEH
Title - owner
BOARD MEMBER
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
3274656178
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-07-28
First name - owner
GREGORY
Middle name - owner
T
Last name - owner
RINN
Title - owner
BOARD MEMBER
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
4486690203
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-07-28
First name - owner
ANNMARIE
Last name - owner
COVONE
Title - owner
BOARD MEMBER
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
4981857042
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-07-28
First name - owner
MARY ALICE
Last name - owner
DONIUS
Title - owner
SECRETARY BOARD OF DIRECTORS
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
4981857042
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-09-01
First name - owner
MARY ALICE
Last name - owner
DONIUS
Title - owner
BOARD MEMBER
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
6002177086
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-07-28
First name - owner
MICHAEL
Middle name - owner
F
Last name - owner
HAYES
Title - owner
VICE CHAIRMAN BOARD OF DIRECTORS
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
6002177086
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-11-01
First name - owner
MICHAEL
Middle name - owner
F
Last name - owner
HAYES
Title - owner
BOARD MEMBER
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
6103187059
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-11-01
First name - owner
JEFFREY
Last name - owner
HODGMAN
Title - owner
BOARD MEMBER
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
6709039860
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2010-12-01
First name - owner
RAYMOND
Middle name - owner
E
Last name - owner
SACHER
Title - owner
BOARD MEMBER
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
6709147648
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-09-11
First name - owner
DIANE
Last name - owner
LAW
Title - owner
DIRECTOR OF PATIENT SERVICES
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
7214298298
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-07-28
First name - owner
JOSEPH
Middle name - owner
L
Last name - owner
BUKZIN
Title - owner
BOARD MEMBER
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
7911199716
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-07-28
First name - owner
MAX
Last name - owner
VANGILDER
Title - owner
CHAIRMAN BOARD OF DIRECTORS
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
7911199716
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1981-06-01
First name - owner
MAX
Last name - owner
VANGILDER
Title - owner
BOARD MEMBER
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
8022140482
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-07-28
First name - owner
MARY
Middle name - owner
J
Last name - owner
ZAGAJESKI
Title - owner
SECRETARY BOARD OF DIRECTORS
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
8022140482
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2010-03-01
First name - owner
MARY
Middle name - owner
J
Last name - owner
ZAGAJESKI
Title - owner
NONVOTING BOARD MEMBER AND PRESI
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
8022140482
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2010-03-01
First name - owner
MARY
Middle name - owner
J
Last name - owner
ZAGAJESKI
Title - owner
PRESIDENT CHIEF EXECUTIVE OFFICE
Enrollment id
O20031008000009
Associate id
3072424027
Organization name
THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
Associate id - owner
9234280074
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-07-28
First name - owner
SCOTT
Last name - owner
LARUE
Title - owner
BOARD MEMBER

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