Public record

CMS Home Health Agency All Owners

Associate id: 9830127356 · 11 matching records

Enrollment id
O20050727000624
Associate id
9830127356
Organization name
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner
0345278800
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1988-07-21
First name - owner
MARK
Last name - owner
VANECK
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20050727000624
Associate id
9830127356
Organization name
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner
1355739160
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
DAWN
Last name - owner
POPOWSKI
Percentage ownership
0
Enrollment id
O20050727000624
Associate id
9830127356
Organization name
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner
2062877459
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-08-25
First name - owner
AMY
Middle name - owner
HEIDI
Last name - owner
FIER
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20050727000624
Associate id
9830127356
Organization name
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner
4082002894
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-01-01
First name - owner
TRAVIS
Last name - owner
OLSEN
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20050727000624
Associate id
9830127356
Organization name
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner
4082002894
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-08-01
First name - owner
TRAVIS
Last name - owner
OLSEN
Title - owner
AD;
Percentage ownership
0
Enrollment id
O20050727000624
Associate id
9830127356
Organization name
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner
4981632445
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2003-01-01
First name - owner
VINCE
Last name - owner
ROBINSON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20050727000624
Associate id
9830127356
Organization name
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner
4981988102
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-08-27
First name - owner
JAMES
Last name - owner
NESS
Percentage ownership
0
Enrollment id
O20050727000624
Associate id
9830127356
Organization name
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner
5799140182
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-08-25
First name - owner
BRITTANY
Last name - owner
JOHNSON
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20050727000624
Associate id
9830127356
Organization name
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner
7113280264
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-08-24
First name - owner
JOHN
Last name - owner
ENGELS
Percentage ownership
0
Enrollment id
O20050727000624
Associate id
9830127356
Organization name
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner
7810925377
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2003-08-21
First name - owner
ALLEN
Last name - owner
MOLASCON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20050727000624
Associate id
9830127356
Organization name
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner
8729513486
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-08-26
First name - owner
HEATHER
Last name - owner
SHAW
Title - owner
DIRECTOR
Percentage ownership
0

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