Public record

CMS Home Health Agency All Owners

Associate id: 8527069715 · 11 matching records

Enrollment id
O20080604000272
Associate id
8527069715
Organization name
MEMORIAL HOME SERVICES
Associate id - owner
0749504793
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-02-20
First name - owner
KIMBERLY
Middle name - owner
L
Last name - owner
BOURNE
Enrollment id
O20080604000272
Associate id
8527069715
Organization name
MEMORIAL HOME SERVICES
Associate id - owner
1355605866
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-02-20
First name - owner
TAMAR
Last name - owner
KUTZ
Enrollment id
O20080604000272
Associate id
8527069715
Organization name
MEMORIAL HOME SERVICES
Associate id - owner
4183941263
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-02-20
First name - owner
JAMESON
Last name - owner
ROSZHART
Enrollment id
O20080604000272
Associate id
8527069715
Organization name
MEMORIAL HOME SERVICES
Associate id - owner
4284634999
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2009-01-01
First name - owner
KEVIN
Middle name - owner
R
Last name - owner
ENGLAND
Enrollment id
O20080604000272
Associate id
8527069715
Organization name
MEMORIAL HOME SERVICES
Associate id - owner
5294109377
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
MICHAEL
Middle name - owner
T
Last name - owner
HUFFMAN
Enrollment id
O20080604000272
Associate id
8527069715
Organization name
MEMORIAL HOME SERVICES
Associate id - owner
6507864527
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2009-01-01
First name - owner
DOLAN
Last name - owner
DALPOAS
Enrollment id
O20080604000272
Associate id
8527069715
Organization name
MEMORIAL HOME SERVICES
Associate id - owner
8325389869
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-02-20
First name - owner
KATHRYN
Middle name - owner
J
Last name - owner
KEIM
Enrollment id
O20080604000272
Associate id
8527069715
Organization name
MEMORIAL HOME SERVICES
Associate id - owner
8527069715
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1984-06-13
Organization name - owner
MEMORIAL HOME SERVICES
Doing business as name - owner
MEMORIAL HOME HOSPICE
Address line 1 - owner
701 N 1ST ST
City - owner
SPRINGFIELD
State - owner
IL
Zip code - owner
627810001
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20080604000272
Associate id
8527069715
Organization name
MEMORIAL HOME SERVICES
Associate id - owner
8729504535
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-01-01
First name - owner
HENRY
Last name - owner
HURWITZ
Enrollment id
O20080604000272
Associate id
8527069715
Organization name
MEMORIAL HOME SERVICES
Associate id - owner
9537407275
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-12-31
First name - owner
CHRISTINA
Last name - owner
KING
Title - owner
DIR
Enrollment id
O20080604000272
Associate id
8527069715
Organization name
MEMORIAL HOME SERVICES
Associate id - owner
9537407275
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-12-31
First name - owner
CHRISTINA
Last name - owner
KING
Title - owner
DIR

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