Public record

CMS Hospice All Owners

Associate id: 7911940655 · 19 matching records

Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
0143516104
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-04-16
First name - owner
ERIN
Middle name - owner
M
Last name - owner
GALLAGHER
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
1153609250
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-08-26
First name - owner
CHARLES
Middle name - owner
S
Last name - owner
OFSTEIN
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
2062871569
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-10-12
First name - owner
JENNIFER
Last name - owner
HOLLEMAN
Title - owner
DIRECTOR OF QUALITY
Percentage ownership
0
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
2163414723
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-02-01
First name - owner
PATRICK
Last name - owner
MILLER
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
2163414723
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-02-01
First name - owner
PATRICK
Last name - owner
MILLER
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
2163818949
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-02-01
First name - owner
KRISTIN
Middle name - owner
L
Last name - owner
WHYTE
Title - owner
ADMINISTRATOR
Percentage ownership
0
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
2466748421
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-05-24
First name - owner
SUSAN
Middle name - owner
K
Last name - owner
SPRINGGATE
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
4486816352
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-02-01
First name - owner
LEE ANN
Last name - owner
MYERS
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
4789945833
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-04-28
First name - owner
GERALD
Middle name - owner
L
Last name - owner
POTRATZ
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
4880630789
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-12-07
First name - owner
CHERYL
Middle name - owner
A
Last name - owner
DICKSON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
5193017598
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-04-22
First name - owner
MOLLY
Last name - owner
PETERSEN
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
5395783914
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-05-17
First name - owner
DANIEL
Last name - owner
LIEHR
Title - owner
DIRECTOR
Percentage ownership
0
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
5496723660
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-02-01
Organization name - owner
HOSPICE OF MICHIGAN, INC.
Doing business as name - owner
HOSPICE OF WESTERN MICHIGAN, INC.
Address line 1 - owner
2366 OAK VALLEY DR
City - owner
ANN ARBOR
State - owner
MI
Zip code - owner
481038944
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
Y
Other type - owner
N
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
5698136562
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-02-01
First name - owner
RACHEL
Middle name - owner
J
Last name - owner
DERRY
Title - owner
DIRECTOR OF EDUCATION
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
6507152568
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-04-17
First name - owner
THOMAS
Middle name - owner
A
Last name - owner
JAGER
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
7416342787
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-04-30
First name - owner
BOBETTE
Last name - owner
HAMPTON
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
7517253560
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-04-16
First name - owner
WENDY
Middle name - owner
Y
Last name - owner
FIELDS
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
7810915550
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-08-14
First name - owner
RONALD
Middle name - owner
E
Last name - owner
SEAGLE
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20050603000767
Associate id
7911940655
Organization name
HOSPICE CARE OF SOUTHWEST MICHIGAN
Associate id - owner
9931585189
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-04-22
First name - owner
MICHAEL
Middle name - owner
A
Last name - owner
JONES
Title - owner
DIRECTOR
Percentage ownership
0

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