Public record

CMS Hospice All Owners

Associate id: 0143131516 · 22 matching records

Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
0042603888
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-10-26
First name - owner
ANDREW
Last name - owner
TIREVOLD
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
0345619466
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-09-27
First name - owner
RACHEL
Middle name - owner
M
Last name - owner
MARTIAN
Title - owner
AD;HOSPICE DIRECTOR
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
0345619466
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-09-27
First name - owner
RACHEL
Middle name - owner
M
Last name - owner
MARTIAN
Title - owner
HOSPICE DIRECTOR
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
1355888777
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-04-22
First name - owner
BEAU
Middle name - owner
T
Last name - owner
HUPKE
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
2062631898
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-01-27
First name - owner
SHELIA
Middle name - owner
M
Last name - owner
DUARTE
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
2264979681
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-04-22
First name - owner
JEFFREY
Middle name - owner
R
Last name - owner
PRATT
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
3476545948
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-07-31
First name - owner
LYNN
Middle name - owner
R
Last name - owner
WOLD
Title - owner
CEO
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
3476545948
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-07-31
First name - owner
LYNN
Middle name - owner
R
Last name - owner
WOLD
Title - owner
CEO
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
3476545948
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-07-31
First name - owner
LYNN
Middle name - owner
R
Last name - owner
WOLD
Title - owner
CEO
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
4789962556
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-23
First name - owner
TERRY
Last name - owner
MURRELL
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
5193991362
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-10-02
First name - owner
JAMES
Middle name - owner
L
Last name - owner
GOBELL
Title - owner
VICE PRESIDENT OF FINANCE
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
5193991362
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-10-02
First name - owner
JAMES
Middle name - owner
L
Last name - owner
GOBELL
Title - owner
VICE PRESIDENT OF FINANCE
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
5496925984
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2011-08-15
First name - owner
ALLISON
Middle name - owner
L
Last name - owner
KOVAR
Title - owner
MD;
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
5496925984
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-08-15
First name - owner
ALLISON
Middle name - owner
L
Last name - owner
KOVAR
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
6103908207
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-08-05
First name - owner
MARI
Middle name - owner
B
Last name - owner
MILLER
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
6103908207
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-06-25
First name - owner
MARI
Middle name - owner
B
Last name - owner
MILLER
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
8325112154
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-06-29
First name - owner
KEITH
Middle name - owner
A
Last name - owner
SCHRUNK
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
8325112154
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-04-23
First name - owner
KEITH
Middle name - owner
A
Last name - owner
SCHRUNK
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
8820091119
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2009-06-22
First name - owner
PAUL
Middle name - owner
E
Last name - owner
DUDLEY
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
9133512973
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-03-29
First name - owner
AMY
Last name - owner
MAULE
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
9133512973
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-10-26
First name - owner
AMY
Last name - owner
MAULE
Enrollment id
O20100309000300
Associate id
0143131516
Organization name
BURGESS HEALTH CENTER
Associate id - owner
9537524848
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-23
First name - owner
MATTHEW
Last name - owner
MINNIHAN

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