Public record

CMS Home Health Agency All Owners

Associate id: 8820224280 · 50 matching records

Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
1254691496
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-07-16
First name - owner
NATHAN
Last name - owner
BRAND
Title - owner
DIRECTOR OF FINANCE
Percentage ownership
0
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
2264349828
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
CURTIS
Middle name - owner
JOHN
Last name - owner
HOHMAN
Title - owner
BOARD MEMBER
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
2466416110
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
NANCI
Middle name - owner
J
Last name - owner
VANPEURSEM
Title - owner
BOARD MEMBER
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
3173771565
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
CHAD
Middle name - owner
R
Last name - owner
THURY
Title - owner
BOARD MEMBER
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
3375777246
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
DEBRA
Middle name - owner
ANN
Last name - owner
KOLECKA
Title - owner
BOARD MEMBER
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
3870639917
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
LUCILLE
Middle name - owner
F
Last name - owner
WELBIG
Title - owner
BOARD MEMBER
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
4082939368
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
DEBRA
Middle name - owner
ANN
Last name - owner
STREIER
Title - owner
BOARD MEMBER
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
4284935990
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
TIMOTHY
Last name - owner
DOUGHERTY
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT AND CEO
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT AND CEO
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5395046569
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
GERALD
Last name - owner
BENINGA
Title - owner
BOARD MEMBER
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5395051841
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2015-08-12
First name - owner
CARLA
Middle name - owner
A
Last name - owner
VAN DYKE
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
6204895436
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
MATTHEW
Middle name - owner
GERHARDT
Last name - owner
WINKELBAUER
Title - owner
BOARD MEMBER
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
6406765841
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
DOUGLAS
Middle name - owner
R
Last name - owner
EKEREN
Title - owner
BOARD MEMBER
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
6608002076
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
DORIS
Middle name - owner
M
Last name - owner
DERYNCK
Title - owner
BOARD MEMBER
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
7315234168
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2015-10-15
First name - owner
NATHEL
Middle name - owner
LYNN
Last name - owner
CODY
Title - owner
NURSE MANAGER
Percentage ownership
0
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
8224945860
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-07-01
Organization name - owner
AVERA HEALTH
Doing business as name - owner
AVERA QUEEN OF PEACE
Address line 1 - owner
3900W AVERA DR
City - owner
SIOUX FALLS
State - owner
SD
Zip code - owner
571085717
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
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
9335271410
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-07-01
First name - owner
KAREN
Last name - owner
GALLAGHER
Title - owner
BOARD MEMBER
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
1254691496
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-07-16
First name - owner
NATHAN
Last name - owner
BRAND
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
2264349828
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
CURTIS
Middle name - owner
JOHN
Last name - owner
HOHMAN
Title - owner
BOARD MEMBER
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
2466416110
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
NANCI
Middle name - owner
J
Last name - owner
VANPEURSEM
Title - owner
BOARD MEMBER
Percentage ownership
5
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
3173771565
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
CHAD
Middle name - owner
R
Last name - owner
THURY
Title - owner
BOARD MEMBER
Percentage ownership
5
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
3375777246
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
DEBRA
Middle name - owner
ANN
Last name - owner
KOLECKA
Title - owner
BOARD MEMBER
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
3870639917
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
LUCILLE
Middle name - owner
F
Last name - owner
WELBIG
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
4082939368
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
DEBRA
Middle name - owner
ANN
Last name - owner
STREIER
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
4284935990
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
TIMOTHY
Last name - owner
DOUGHERTY
Title - owner
BOARD MEMBER
Percentage ownership
5
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT & CEO
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT AND CEO
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5395046569
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
GERALD
Last name - owner
BENINGA
Title - owner
BOARD MEMBER
Percentage ownership
5
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5395051841
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2015-08-12
First name - owner
CARLA
Middle name - owner
A
Last name - owner
VAN DYKE
Title - owner
REGIONAL DIRECTOR
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
6204895436
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
MATTHEW
Middle name - owner
GERHARDT
Last name - owner
WINKELBAUER
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
6406765841
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
DOUGLAS
Middle name - owner
R
Last name - owner
EKEREN
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
6608002076
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
DORIS
Middle name - owner
M
Last name - owner
DERYNCK
Title - owner
BOARD MEMBER
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
8224945860
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-11-01
Organization name - owner
AVERA HEALTH
Doing business as name - owner
AVERA QUEEN OF PEACE
Address line 1 - owner
3900W AVERA DR
City - owner
SIOUX FALLS
State - owner
SD
Zip code - owner
571085717
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
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
9335271410
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-07-01
First name - owner
KAREN
Last name - owner
GALLAGHER
Title - owner
BOARD MEMBER
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
9739495193
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2015-02-16
First name - owner
LAURA
Middle name - owner
S
Last name - owner
WOOLVERTON
Title - owner
MANAGER
Enrollment id
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
1254691496
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-07-16
First name - owner
NATHAN
Last name - owner
BRAND
Title - owner
DIRECTOR OF FINANCE
Percentage ownership
0
Enrollment id
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
1850498510
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
KATHLEEN
Last name - owner
BIERNE
Title - owner
BOARD MEMBER
Enrollment id
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
2264349828
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
CURTIS
Middle name - owner
JOHN
Last name - owner
HOHMAN
Title - owner
BOARD MEMBER
Enrollment id
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
2769393834
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
THOMAS
Last name - owner
CLARK
Title - owner
BOARD MEMBER
Enrollment id
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
3375777246
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
DEBRA
Middle name - owner
ANN
Last name - owner
KOLECKA
Title - owner
BOARD MEMBER
Enrollment id
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
4183806599
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
JAMIE
Middle name - owner
A
Last name - owner
SCHAEFER
Title - owner
BOARD MEMBER
Enrollment id
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT AND CEO
Enrollment id
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT & CEO
Enrollment id
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
6608002076
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
DORIS
Middle name - owner
M
Last name - owner
DERYNCK
Title - owner
BOARD MEMBER
Enrollment id
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
7719220839
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-04-21
First name - owner
DOREEN
Last name - owner
HARDY
Title - owner
AGENCY ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
8224945860
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-11-01
Organization name - owner
AVERA HEALTH
Doing business as name - owner
AVERA QUEEN OF PEACE
Address line 1 - owner
3900W AVERA DR
City - owner
SIOUX FALLS
State - owner
SD
Zip code - owner
571085717
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
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
9335212042
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
TOM
Middle name - owner
J
Last name - owner
SNYDER
Title - owner
BOARD MEMBER
Enrollment id
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
9335271410
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-07-01
First name - owner
KAREN
Last name - owner
GALLAGHER
Title - owner
BOARD MEMBER
Enrollment id
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
9537395710
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2013-12-01
First name - owner
RHONDA
Middle name - owner
J
Last name - owner
WIERING
Title - owner
REGIONAL DIRECTOR

Showing the first 50 matching records.

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