Public record

CMS Hospice All Owners

Associate id: 5991707127 · 43 matching records

Enrollment id
O20070201000017
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
0648670638
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-10-22
First name - owner
JIM
Last name - owner
PETTY
Title - owner
BOARD MEMBER
Enrollment id
O20070201000017
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
1355773342
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-07-25
First name - owner
RICKY
Middle name - owner
R
Last name - owner
GREEN
Title - owner
BOARD MEMBER
Enrollment id
O20070201000017
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
1557761541
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-02-25
First name - owner
CANDICE
Last name - owner
SETTLE
Title - owner
BOARD MEMBER
Enrollment id
O20070201000017
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
1850664657
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-04-27
First name - owner
ROBERT
Last name - owner
HERRERA
Title - owner
BOARD MEMBER
Enrollment id
O20070201000017
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
4082046073
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-01-28
First name - owner
JAKE
Last name - owner
SIBLEY
Title - owner
2ND VICE CHAIRPERSON
Enrollment id
O20070201000017
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
5092006213
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-09-03
First name - owner
JENNIFER
Last name - owner
HALLUM
Title - owner
CEO/PRESIDENT
Enrollment id
O20070201000017
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
5092006213
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2015-09-03
First name - owner
JENNIFER
Last name - owner
HALLUM
Title - owner
CEO
Enrollment id
O20070201000017
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
5597038398
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-01-28
First name - owner
PHILLIP
Last name - owner
MERRY
Title - owner
1ST VICE CHAIRPERSON/SEC-TREASURER
Enrollment id
O20070201000017
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
6204098973
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-02-23
First name - owner
SHARON
Last name - owner
BROOKS
Title - owner
BOARD MEMBER
Enrollment id
O20070201000017
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
6204109002
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-06-22
First name - owner
DANA
Last name - owner
CALLAWAY
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20070201000017
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
6204109002
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-06-22
First name - owner
DANA
Last name - owner
CALLAWAY
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20070201000017
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
6507212651
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-02-23
First name - owner
MONT
Last name - owner
SAGELY
Title - owner
BOARD MEMBER
Enrollment id
O20070201000017
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
9032482831
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-04-27
First name - owner
DOUG
Last name - owner
KINSLOW
Title - owner
BOARD MEMBER
Enrollment id
O20070201000017
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
9537321203
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-01-28
First name - owner
T.R.
Last name - owner
MCNUTT
Title - owner
CHAIRMAN OF THE BOARD
Enrollment id
O20070201000022
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
0648670638
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-10-22
First name - owner
JIM
Last name - owner
PETTY
Title - owner
BOARD MEMBER
Enrollment id
O20070201000022
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
1355773342
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-07-25
First name - owner
RICKY
Middle name - owner
R
Last name - owner
GREEN
Title - owner
BOARD MEMBER
Enrollment id
O20070201000022
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
1557761541
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-02-25
First name - owner
CANDICE
Last name - owner
SETTLE
Title - owner
BOARD MEMBER
Enrollment id
O20070201000022
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
1850664657
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-04-27
First name - owner
ROBERT
Last name - owner
HERRERA
Title - owner
BOARD MEMBER
Enrollment id
O20070201000022
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
4082046073
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-01-28
First name - owner
JAKE
Last name - owner
SIBLEY
Title - owner
2ND VICE CHAIRPERSON
Enrollment id
O20070201000022
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
5092006213
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-09-03
First name - owner
JENNIFER
Last name - owner
HALLUM
Title - owner
CEO/PRESIDENT
Enrollment id
O20070201000022
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
5092006213
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2015-09-03
First name - owner
JENNIFER
Last name - owner
HALLUM
Title - owner
CEO
Enrollment id
O20070201000022
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
5597038398
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-01-28
First name - owner
PHILLIP
Last name - owner
MERRY
Title - owner
1ST VICE CHAIRPERSON/SEC-TREASURER
Enrollment id
O20070201000022
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
6204098973
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-02-23
First name - owner
SHARON
Last name - owner
BROOKS
Title - owner
BOARD MEMBER
Enrollment id
O20070201000022
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
6204109002
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-06-22
First name - owner
DANA
Last name - owner
CALLAWAY
Title - owner
VICE PRESIDENT FINANCE
Enrollment id
O20070201000022
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
6204109002
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-06-22
First name - owner
DANA
Last name - owner
CALLAWAY
Title - owner
VICE PRESIDENT FINANCE
Enrollment id
O20070201000022
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
6507212651
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-02-23
First name - owner
MONT
Last name - owner
SAGELY
Title - owner
BOARD MEMBER
Enrollment id
O20070201000022
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
9032482831
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-04-27
First name - owner
DOUG
Last name - owner
KINSLOW
Title - owner
BOARD MEMBER
Enrollment id
O20070201000022
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
9537321203
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-01-28
First name - owner
T.R.
Last name - owner
MCNUTT
Title - owner
CHAIRMAN OF THE BOARD
Enrollment id
O20070201000026
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
0648670638
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-10-22
First name - owner
JIM
Last name - owner
PETTY
Title - owner
BOARD MEMBER
Enrollment id
O20070201000026
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
1355773342
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-07-25
First name - owner
RICKY
Middle name - owner
R
Last name - owner
GREEN
Title - owner
BOARD MEMBER
Enrollment id
O20070201000026
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
1557761541
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-02-25
First name - owner
CANDICE
Last name - owner
SETTLE
Title - owner
BOARD MEMBER
Enrollment id
O20070201000026
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
1850664657
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-04-27
First name - owner
ROBERT
Last name - owner
HERRERA
Title - owner
BOARD MEMBER
Enrollment id
O20070201000026
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
4082046073
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-01-28
First name - owner
JAKE
Last name - owner
SIBLEY
Title - owner
2ND VICE CHAIRPERSON
Enrollment id
O20070201000026
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
4385784826
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-08-25
First name - owner
CHARLES
Last name - owner
CRAFT
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20070201000026
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
5092006213
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-09-03
First name - owner
JENNIFER
Last name - owner
HALLUM
Title - owner
CEO/ADMINISTRATOR
Enrollment id
O20070201000026
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
5092006213
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2015-09-03
First name - owner
JENNIFER
Last name - owner
HALLUM
Title - owner
AD;CEO
Enrollment id
O20070201000026
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
5597038398
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-01-28
First name - owner
PHILLIP
Last name - owner
MERRY
Title - owner
1ST VICE CHAIRPERSON/SEC-TREASURER
Enrollment id
O20070201000026
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
6204098973
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-02-23
First name - owner
SHARON
Last name - owner
BROOKS
Title - owner
BOARD MEMBER
Enrollment id
O20070201000026
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
6204109002
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-06-22
First name - owner
DANA
Last name - owner
CALLAWAY
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20070201000026
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
6204109002
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-06-22
First name - owner
DANA
Last name - owner
CALLAWAY
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20070201000026
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
6507212651
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-02-23
First name - owner
MONT
Last name - owner
SAGELY
Title - owner
BOARD MEMBER
Enrollment id
O20070201000026
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
9032482831
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-04-27
First name - owner
DOUG
Last name - owner
KINSLOW
Title - owner
BOARD MEMBER
Enrollment id
O20070201000026
Associate id
5991707127
Organization name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Associate id - owner
9537321203
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-01-28
First name - owner
T.R.
Last name - owner
MCNUTT
Title - owner
CHAIRMAN OF THE BOARD

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