Public record

CMS Hospice All Owners

Associate id: 4183712821 · 13 matching records

Enrollment id
O20220126003264
Associate id
4183712821
Organization name
INDIANAPOLIS JEWISH HOME, INC.
Associate id - owner
0042602922
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-11-29
First name - owner
EVAN
Last name - owner
LUBLINE
Title - owner
CEO
Enrollment id
O20220126003264
Associate id
4183712821
Organization name
INDIANAPOLIS JEWISH HOME, INC.
Associate id - owner
0941692826
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-11-29
First name - owner
CYNTHIA
Last name - owner
KOPLOW
Enrollment id
O20220126003264
Associate id
4183712821
Organization name
INDIANAPOLIS JEWISH HOME, INC.
Associate id - owner
1951793835
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-11-29
First name - owner
LYNN
Last name - owner
LEVY
Enrollment id
O20220126003264
Associate id
4183712821
Organization name
INDIANAPOLIS JEWISH HOME, INC.
Associate id - owner
3779975651
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-11-29
First name - owner
MURRAY
Last name - owner
FIRESTONE
Enrollment id
O20220126003264
Associate id
4183712821
Organization name
INDIANAPOLIS JEWISH HOME, INC.
Associate id - owner
4183712821
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-11-29
Organization name - owner
INDIANAPOLIS JEWISH HOME, INC.
Doing business as name - owner
AARON-RUBEN-NELSON HOSPICE
Address line 1 - owner
7001 HOOVER RD
City - owner
INDIANAPOLIS
State - owner
IN
Zip code - owner
462604169
Corporation - owner
Y
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
O20220126003264
Associate id
4183712821
Organization name
INDIANAPOLIS JEWISH HOME, INC.
Associate id - owner
4688066566
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-11-29
First name - owner
STACY
Last name - owner
SEGAL
Enrollment id
O20220126003264
Associate id
4183712821
Organization name
INDIANAPOLIS JEWISH HOME, INC.
Associate id - owner
4880886621
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2021-10-27
First name - owner
PRAGNESHKUMAR
Middle name - owner
N
Last name - owner
RADADIYA
Title - owner
MD;
Enrollment id
O20220126003264
Associate id
4183712821
Organization name
INDIANAPOLIS JEWISH HOME, INC.
Associate id - owner
5597157479
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-11-29
First name - owner
JENNIFER
Last name - owner
WILLIAMS
Enrollment id
O20220126003264
Associate id
4183712821
Organization name
INDIANAPOLIS JEWISH HOME, INC.
Associate id - owner
7214329192
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-11-29
First name - owner
MIRANDA
Last name - owner
BERNADAC
Enrollment id
O20220126003264
Associate id
4183712821
Organization name
INDIANAPOLIS JEWISH HOME, INC.
Associate id - owner
8123410008
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-11-29
First name - owner
SHELLEY
Last name - owner
KAHN
Enrollment id
O20220126003264
Associate id
4183712821
Organization name
INDIANAPOLIS JEWISH HOME, INC.
Associate id - owner
8628166360
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-11-29
First name - owner
DIANA
Last name - owner
WYSOCKI
Title - owner
CFO
Enrollment id
O20220126003264
Associate id
4183712821
Organization name
INDIANAPOLIS JEWISH HOME, INC.
Associate id - owner
9032501911
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-11-29
First name - owner
CARRIE
Last name - owner
AVGERINOS
Enrollment id
O20220126003264
Associate id
4183712821
Organization name
INDIANAPOLIS JEWISH HOME, INC.
Associate id - owner
9234652918
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-01-01
First name - owner
KRISTIN
Last name - owner
ALLISON
Title - owner
AD;

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