Public record

CMS Home Health Agency All Owners

Associate id: 9234041708 · 48 matching records

Enrollment id
O20040718000005
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2011-01-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Title - owner
MANAGER PROVIDER ENROLLMENT
Percentage ownership
0
Enrollment id
O20040718000005
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7315076080
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-01-01
First name - owner
STEVEN
Last name - owner
FIGGE
Title - owner
DIRECTOR MSO
Enrollment id
O20040718000005
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7315076080
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2007-01-01
First name - owner
STEVEN
Last name - owner
FIGGE
Title - owner
DIRECTOR MSO
Enrollment id
O20040718000005
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7618956194
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
JAMES
Last name - owner
HINTON
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0345229829
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
LARRY
Last name - owner
STROUP
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2011-01-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Title - owner
MANAGER PROVIDER ENROLLMENT
Percentage ownership
0
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
1254310733
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
DAVID
Last name - owner
WEYMOUTH
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
1355691981
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-07-01
First name - owner
SUSAN
Last name - owner
DANIELS
Title - owner
DIRECTOR HOME HEALTHCARE
Percentage ownership
0
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
1456345362
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
ALLAN
Middle name - owner
L
Last name - owner
HAYNES
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
2163401647
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
DIANE
Last name - owner
FISHER
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
3971582453
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
PRISCILLA
Middle name - owner
R
Last name - owner
REIMER
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
4880673367
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
DALE
Last name - owner
ANDERSON
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
4981516325
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
SHERRY
Last name - owner
GENTRY
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
4981683463
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
PETER
Middle name - owner
J
Last name - owner
SNOW
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
5799789467
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2009-01-01
First name - owner
DALE
Last name - owner
MAXWELL
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
5799789467
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2009-01-01
First name - owner
DALE
Last name - owner
MAXWELL
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
5890774376
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
ADELMO
Last name - owner
ARCHULETA
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
6507769320
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
ANDREW
Last name - owner
HORVATH
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7618884537
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
WILLIAM
Middle name - owner
HENRICK
Last name - owner
NELSON
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7719966290
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
VICKIE
Last name - owner
FISHER
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
8527047000
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
SARAH
Last name - owner
KOTCHIAN
Enrollment id
O20040718000007
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
9537148010
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
JANICE
Last name - owner
PARSONS
Enrollment id
O20090619000185
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2011-01-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Title - owner
MANAGER PROVIDER ENROLLMENT
Percentage ownership
0
Enrollment id
O20090619000185
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2011-01-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Title - owner
MANAGER PROVIDER ENROLLMENT
Percentage ownership
0
Enrollment id
O20090619000185
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
5799789467
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2000-04-01
First name - owner
DALE
Last name - owner
MAXWELL
Enrollment id
O20090619000185
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
9234041708
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2000-04-01
Organization name - owner
PRESBYTERIAN HEALTHCARE SERVICES
Doing business as name - owner
SOCORRO GENERAL HOSPITAL HOME HEALTHCARE
Address line 1 - owner
2501 BUENA VISTA DR SE
City - owner
ALBUQUERQUE
State - owner
NM
Zip code - owner
871064260
Created for acquisition - owner
N
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
O20090619000185
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
9234041708
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2009-01-19
Organization name - owner
PRESBYTERIAN HEALTHCARE SERVICES
Doing business as name - owner
SOCORRO GENERAL HOSPITAL HOME HEALTHCARE
Address line 1 - owner
2501 BUENA VISTA DR SE
City - owner
ALBUQUERQUE
State - owner
NM
Zip code - owner
871064260
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
O20100929000170
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-01-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Title - owner
MANAGER PROVIDER ENROLLMENT
Percentage ownership
0
Enrollment id
O20100929000170
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2011-01-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Title - owner
MANAGER PROVIDER ENROLLMENT
Percentage ownership
0
Enrollment id
O20100929000170
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7315076080
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2010-01-01
First name - owner
STEVEN
Last name - owner
FIGGE
Title - owner
DIRECTOR MSO
Percentage ownership
0
Enrollment id
O20100929000170
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7315076080
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2010-01-01
First name - owner
STEVEN
Last name - owner
FIGGE
Title - owner
DIRECTOR MSO
Percentage ownership
0
Enrollment id
O20100929000170
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
9234041708
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1979-02-14
Organization name - owner
PRESBYTERIAN HEALTHCARE SERVICES
Doing business as name - owner
SOCORRO GENERAL HOSPITAL HOME HEALTHCARE
Address line 1 - owner
2501 BUENA VISTA DR. SE
City - owner
ALBUQUERQUE
State - owner
NM
Zip code - owner
871064260
Created for acquisition - owner
N
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
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840245866
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-01-01
First name - owner
ANGELA
Middle name - owner
R
Last name - owner
GALLEGOS-MACIAS
Title - owner
BOARD OF DIRECTORS
Percentage ownership
0
Enrollment id
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
38
Role text - owner
GENERAL PARTNERSHIP INTEREST
Association date - owner
2025-01-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Title - owner
MANAGER PROVIDER ENROLLMENT
Enrollment id
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2011-01-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Title - owner
MANAGER PROVIDER ENROLLMENT
Percentage ownership
0
Enrollment id
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
1052370582
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
TERRI
Last name - owner
KLINE
Title - owner
BOARD OF DIRECTORS
Percentage ownership
0
Enrollment id
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
2769985266
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2025-01-01
First name - owner
HEATHER
Last name - owner
OLGUIN
Title - owner
HOSPICE ADMINISTRATOR
Enrollment id
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
3274625801
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-10-01
First name - owner
RISHI
Last name - owner
SIKKA
Title - owner
BOARD OF DIRECTORS
Percentage ownership
0
Enrollment id
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
3375440159
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-02-01
First name - owner
BARBARA
Last name - owner
BALIK
Title - owner
BOARD OF DIRECTORS
Percentage ownership
0
Enrollment id
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
3375456353
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-12-01
First name - owner
LEE
Middle name - owner
B
Last name - owner
SACKS
Title - owner
BOARD OF DIRECTORS
Percentage ownership
0
Enrollment id
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
3577090851
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-09-01
First name - owner
TOM
Last name - owner
BRIONES
Title - owner
BOARD OF DIRECTORS
Percentage ownership
0
Enrollment id
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
4385556141
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
NORMAN
Last name - owner
BECKER
Title - owner
BOARD OF DIRECTORS
Percentage ownership
0
Enrollment id
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
4486181765
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-01-01
First name - owner
ELISABETH
Last name - owner
EDEN
Title - owner
BOARD OF DIRECTORS
Percentage ownership
0
Enrollment id
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
4486888104
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2025-01-01
First name - owner
AHMED
Middle name - owner
A
Last name - owner
EL-EMAWY
Title - owner
HOSPICE MEDICAL DIRECTOR
Enrollment id
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
6204363583
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-08-01
First name - owner
ROBERT
Last name - owner
JEFFERSON
Title - owner
BOARD OF DIRECTORS
Percentage ownership
0
Enrollment id
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
6305324773
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-08-01
First name - owner
MIKE
Last name - owner
CANFIELD
Title - owner
BOARD OF DIRECTORS
Percentage ownership
0
Enrollment id
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7012444391
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-01-01
First name - owner
CYNTHIA
Last name - owner
SCHULTZ
Title - owner
BOARD OF DIRECTORS
Percentage ownership
0
Enrollment id
O20191223001896
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
8921535204
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-09-01
First name - owner
TOM
Last name - owner
WISE
Title - owner
BOARD OF DIRECTORS
Percentage ownership
0

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list