Public record

CMS Home Health Agency All Owners

Associate id: 4385551258 · 7 matching records

Enrollment id
O20120220000788
Associate id
4385551258
Organization name
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Associate id - owner
0749258564
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-09-01
First name - owner
MICHELLE
Last name - owner
FOX
Enrollment id
O20120220000788
Associate id
4385551258
Organization name
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Associate id - owner
2961461918
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-01-17
First name - owner
MICHAEL
Last name - owner
TILSTRA
Title - owner
PRESIDENT/CEO
Enrollment id
O20120220000788
Associate id
4385551258
Organization name
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Associate id - owner
2961461918
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-01-17
First name - owner
MICHAEL
Last name - owner
TILSTRA
Title - owner
CEO
Enrollment id
O20120220000788
Associate id
4385551258
Organization name
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Associate id - owner
3971632290
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-12-27
First name - owner
DANIEL
Last name - owner
TINCHER
Enrollment id
O20120220000788
Associate id
4385551258
Organization name
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Associate id - owner
8022918713
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-12-15
First name - owner
PHILIP
Last name - owner
ZUMWALT
Enrollment id
O20120220000788
Associate id
4385551258
Organization name
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Associate id - owner
8426271669
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-07-26
First name - owner
RHONDA
Last name - owner
PENCE
Enrollment id
O20120220000788
Associate id
4385551258
Organization name
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Associate id - owner
9436324258
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-12-21
First name - owner
ROGER
Last name - owner
DITTRICH

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