Public record

CMS Hospice All Owners

Associate id: 2668463779 · 20 matching records

Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
2062690589
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2010-10-01
First name - owner
MICHAEL
Last name - owner
YOUNG
Title - owner
BOARD OFFICER/MEMBER
Percentage ownership
0
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
2668463779
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-01-01
Organization name - owner
LEWIS COUNTY GENERAL HOSPITAL
Doing business as name - owner
LCGH CERTIFIED HOME HEALTH AGENCY
Address line 1 - owner
7785 NORTH STATE STREET
City - owner
LOWVILLE
State - owner
NY
Zip code - owner
133671229
Percentage ownership
100
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
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
MUNICIPAL
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
3072892629
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-10-18
First name - owner
JEFFREY
Middle name - owner
H
Last name - owner
HELLINGER
Title - owner
CFO
Percentage ownership
0
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
3072892629
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-10-18
First name - owner
JEFFREY
Middle name - owner
H
Last name - owner
HELLINGER
Title - owner
CFO
Percentage ownership
0
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
3072892629
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-10-18
First name - owner
JEFFREY
Middle name - owner
H
Last name - owner
HELLINGER
Title - owner
CFO
Percentage ownership
0
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
3870674450
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2008-05-30
First name - owner
RANDY
Last name - owner
ESSENLOHR
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
4284914847
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2012-11-01
First name - owner
MARGUERITE
Last name - owner
MASTASCUSA
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
4385861806
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-01-01
First name - owner
RICHARD
Last name - owner
CHARTRAND
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
4486808797
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-01-01
First name - owner
PHILIP
Last name - owner
HATHWAY
Title - owner
BOARD MEMBER
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
4880872308
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-05-26
First name - owner
GARY
Last name - owner
TURCK
Title - owner
BOARD DIRECTOR/ MEMBER
Percentage ownership
0
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
5294952719
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-08-01
First name - owner
KEVIN
Last name - owner
MCARDLE
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
5395024947
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-12-31
First name - owner
JENNIFER
Last name - owner
JONES
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
5395999601
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-01-01
First name - owner
TIMOTHY
Last name - owner
REAGAN
Title - owner
BOARD MEMBER
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
5597846170
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2008-05-30
First name - owner
CHARLES
Middle name - owner
W
Last name - owner
TRUAX
Title - owner
BOARD DIRECTOR (MEMBER)
Percentage ownership
0
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
5799963211
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-05-26
First name - owner
LEONARD
Last name - owner
PUZZOLI
Title - owner
BOARD DIRECTOR (MEMBER)
Percentage ownership
0
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
6002196664
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-01-01
First name - owner
DONALD
Last name - owner
MUSNICKI
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
6305090614
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-09-08
First name - owner
MICHELE
Last name - owner
PRINCE
Title - owner
INTERIM CEO
Percentage ownership
0
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
6305090614
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-09-08
First name - owner
MICHELE
Last name - owner
PRINCE
Title - owner
INTERIM CEO
Percentage ownership
0
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
6800057969
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-01-01
First name - owner
RAE
Last name - owner
RICE
Title - owner
BOARD MEMBER
Enrollment id
O20130124000519
Associate id
2668463779
Organization name
LEWIS COUNTY GENERAL HOSPITAL
Associate id - owner
9133373442
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-01-01
First name - owner
EDWARD
Last name - owner
KNUPP
Title - owner
BOARD MEMBER

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