Public record

CMS Hospice All Owners

Associate id: 4789577834 · 15 matching records

Enrollment id
O20090819000740
Associate id
4789577834
Organization name
MILLE LACS HEALTH SYSTEM
Associate id - owner
0042577686
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-01-08
First name - owner
ROBERT
Last name - owner
DUBBS
Enrollment id
O20090819000740
Associate id
4789577834
Organization name
MILLE LACS HEALTH SYSTEM
Associate id - owner
0446548796
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-01-04
First name - owner
REBECCA
Middle name - owner
K
Last name - owner
FOSSAND
Enrollment id
O20090819000740
Associate id
4789577834
Organization name
MILLE LACS HEALTH SYSTEM
Associate id - owner
1951824416
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-03-10
First name - owner
AMY
Middle name - owner
S
Last name - owner
NINHAM
Title - owner
CFO
Percentage ownership
0
Enrollment id
O20090819000740
Associate id
4789577834
Organization name
MILLE LACS HEALTH SYSTEM
Associate id - owner
2769862895
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-01-27
First name - owner
ANDREW
Last name - owner
KNUTSON
Title - owner
CEO
Percentage ownership
0
Enrollment id
O20090819000740
Associate id
4789577834
Organization name
MILLE LACS HEALTH SYSTEM
Associate id - owner
2769862895
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-01-27
First name - owner
ANDREW
Last name - owner
KNUTSON
Title - owner
CEO
Enrollment id
O20090819000740
Associate id
4789577834
Organization name
MILLE LACS HEALTH SYSTEM
Associate id - owner
3779006234
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
ROBERT
Middle name - owner
A
Last name - owner
ATHMAN
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20090819000740
Associate id
4789577834
Organization name
MILLE LACS HEALTH SYSTEM
Associate id - owner
4587044615
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-13
First name - owner
JEAN
Middle name - owner
M
Last name - owner
STAFFORD
Title - owner
BOARD MEMBER
Enrollment id
O20090819000740
Associate id
4789577834
Organization name
MILLE LACS HEALTH SYSTEM
Associate id - owner
4789110495
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-01
First name - owner
ROGER
Middle name - owner
W
Last name - owner
TRAMM
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20090819000740
Associate id
4789577834
Organization name
MILLE LACS HEALTH SYSTEM
Associate id - owner
4789577834
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2009-06-17
Organization name - owner
MILLE LACS HEALTH SYSTEM
Doing business as name - owner
MILLE LACS HOME CARE
Address line 1 - owner
200 NORTH ELM STREET
City - owner
ONAMIA
State - owner
MN
Zip code - owner
563597901
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
N
Enrollment id
O20090819000740
Associate id
4789577834
Organization name
MILLE LACS HEALTH SYSTEM
Associate id - owner
5496751877
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-01-01
First name - owner
ANTHONY
Last name - owner
HASS
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20090819000740
Associate id
4789577834
Organization name
MILLE LACS HEALTH SYSTEM
Associate id - owner
5698201309
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-01-01
First name - owner
TRACY
Middle name - owner
L
Last name - owner
SAM
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20090819000740
Associate id
4789577834
Organization name
MILLE LACS HEALTH SYSTEM
Associate id - owner
6103084173
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-01-12
First name - owner
LOUIS
Middle name - owner
P
Last name - owner
GRAVEL
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20090819000740
Associate id
4789577834
Organization name
MILLE LACS HEALTH SYSTEM
Associate id - owner
7911930250
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1991-09-01
First name - owner
PATTI
Middle name - owner
J
Last name - owner
HOOK
Enrollment id
O20090819000740
Associate id
4789577834
Organization name
MILLE LACS HEALTH SYSTEM
Associate id - owner
8628001963
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2001-01-01
First name - owner
ARDEN
Last name - owner
VIRNIG
Title - owner
MD
Percentage ownership
0
Enrollment id
O20090819000740
Associate id
4789577834
Organization name
MILLE LACS HEALTH SYSTEM
Associate id - owner
9537457882
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-01-08
First name - owner
DENNIS
Last name - owner
BURR

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