Public record

CMS Home Health Agency All Owners

Associate id: 6406755172 · 18 matching records

Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
0446780639
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
RAY
Last name - owner
ANDERSON
Title - owner
BOARD MEMBER
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
1254755879
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-03-23
First name - owner
MARCUS
Middle name - owner
A
Last name - owner
BOWENS
Title - owner
CFO & TREASURER
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
1355871542
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
CORINNE
Last name - owner
FRANCIS
Title - owner
BOARD MEMBER
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
1951357672
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-07-01
Organization name - owner
TRINITY HOME HEALTH SERVICES
Doing business as name - owner
ST. MARY'S HOSPICE SERVICES
Address line 1 - owner
20555 VICTOR PKWY
City - owner
LIVONIA
State - owner
MI
Zip code - owner
481527031
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
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
Y
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
2163514092
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-11-21
First name - owner
BENJAMIN
Middle name - owner
E
Last name - owner
PETERSEN
Title - owner
COO
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
4082516661
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
DANIEL
Last name - owner
ROTH
Title - owner
BOARD MEMBER
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
4284028374
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
JOSHUA
Last name - owner
MOORE
Title - owner
BOARD MEMBER
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
4385154673
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-09-20
First name - owner
CATHERINE
Last name - owner
SIENKIEWSICZ
Title - owner
AD;
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
4789771262
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-07-01
First name - owner
DANIEL
Last name - owner
DRAKE
Title - owner
PRESIDENT & CEO
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
4789771262
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-07-01
First name - owner
DANIEL
Last name - owner
DRAKE
Title - owner
BOARD MEMBER
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
4789771262
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-07-01
First name - owner
DANIEL
Last name - owner
DRAKE
Title - owner
CHAIN HOME OFFICE ADMINISTRATOR
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
7113837030
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2026-01-01
First name - owner
ROBERT
Middle name - owner
F
Last name - owner
CASALOU
Title - owner
BOARD CHAIR
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
7113837030
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2026-01-01
First name - owner
ROBERT
Middle name - owner
F
Last name - owner
CASALOU
Title - owner
BOARD MEMBER
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
8628988441
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-07-01
Organization name - owner
TRINITY HEALTH CORPORATION
Doing business as name - owner
TRINITY HEALTH CORPORATION
Address line 1 - owner
20555 VICTOR PKWY
City - owner
LIVONIA
State - owner
MI
Zip code - owner
481527031
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
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
Owned by another org or ind - owner
N
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
8729227392
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
DANIEL
Last name - owner
ISACKSEN
Title - owner
BOARD MEMBER
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
9032684832
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2026-02-01
First name - owner
KIMBERLY
Last name - owner
REYNOLDS
Title - owner
REGIONAL DIRECTOR/ALT ADMIN
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
9436434305
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2026-06-24
First name - owner
KAREN
Last name - owner
JOYCE
Title - owner
VICE PRESIDENT HOME HEALTH OPS
Enrollment id
O20040102000247
Associate id
6406755172
Organization name
MERCY HOME HEALTH
Associate id - owner
9537689898
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-01-01
First name - owner
CHRISTINE
Last name - owner
SEPPALA
Title - owner
SECRETARY

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