Public record

CMS Home Health Agency All Owners

Associate id: 3375454259 · 10 matching records

Enrollment id
O20100309000391
Associate id
3375454259
Organization name
KOSSUTH REGIONAL HEALTH CENTER
Associate id - owner
0244601128
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-06-29
First name - owner
JASON
Last name - owner
WARTICK
Enrollment id
O20100309000391
Associate id
3375454259
Organization name
KOSSUTH REGIONAL HEALTH CENTER
Associate id - owner
1153792031
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-01
First name - owner
GREG
Last name - owner
PENNING
Enrollment id
O20100309000391
Associate id
3375454259
Organization name
KOSSUTH REGIONAL HEALTH CENTER
Associate id - owner
3375454259
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
1973-01-01
Organization name - owner
KOSSUTH REGIONAL HEALTH CENTER
Doing business as name - owner
KOSSUTH REGIONAL HEALTH CENTER
Address line 1 - owner
1515 S PHILLIPS ST
City - owner
ALGONA
State - owner
IA
Zip code - owner
505113649
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
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
GOVERNMENTAL
Enrollment id
O20100309000391
Associate id
3375454259
Organization name
KOSSUTH REGIONAL HEALTH CENTER
Associate id - owner
3577996198
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-11-07
First name - owner
LYNZIE
Last name - owner
NILLES
Enrollment id
O20100309000391
Associate id
3375454259
Organization name
KOSSUTH REGIONAL HEALTH CENTER
Associate id - owner
3870674088
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2010-02-16
First name - owner
THOMAS
Middle name - owner
C
Last name - owner
GEELAN
Title - owner
BOARD PRESIDENT
Enrollment id
O20100309000391
Associate id
3375454259
Organization name
KOSSUTH REGIONAL HEALTH CENTER
Associate id - owner
4486987310
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
1987-01-02
First name - owner
DARLENE
Middle name - owner
M
Last name - owner
ELBERT
Title - owner
CEO/CNO
Enrollment id
O20100309000391
Associate id
3375454259
Organization name
KOSSUTH REGIONAL HEALTH CENTER
Associate id - owner
4486987310
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
1987-01-02
First name - owner
DARLENE
Middle name - owner
M
Last name - owner
ELBERT
Title - owner
CEO/CNO
Enrollment id
O20100309000391
Associate id
3375454259
Organization name
KOSSUTH REGIONAL HEALTH CENTER
Associate id - owner
4688944010
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-10-26
First name - owner
BRENDA
Middle name - owner
L
Last name - owner
BORMANN
Title - owner
SECRETARY
Enrollment id
O20100309000391
Associate id
3375454259
Organization name
KOSSUTH REGIONAL HEALTH CENTER
Associate id - owner
6608957816
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2010-02-16
First name - owner
CONLEY
Middle name - owner
J
Last name - owner
NELSON
Title - owner
TREASURER
Enrollment id
O20100309000391
Associate id
3375454259
Organization name
KOSSUTH REGIONAL HEALTH CENTER
Associate id - owner
9133506256
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2021-02-01
First name - owner
COLLETE
Last name - owner
MCCONNELL
Title - owner
CFO

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