Public record

CMS Hospice All Owners

Associate id: 8921045667 · 23 matching records

Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
0547501595
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
MARY
Last name - owner
JANSSEN
Title - owner
BOARD MEMBER
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
0547533176
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-02-01
First name - owner
CHARLES
Last name - owner
NOTBOHM
Title - owner
BOARD MEMBER
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
0547580144
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-02-01
First name - owner
NGUYEN
Middle name - owner
VO DO
Last name - owner
PHAM
Title - owner
BOARD MEMBER
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
0840722781
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-09-01
First name - owner
BENJAMIN
Last name - owner
UHLICH
Title - owner
PRESIDENT
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
0840722781
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-09-01
First name - owner
BENJAMIN
Last name - owner
UHLICH
Title - owner
AD;
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
1052659240
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
ALEXANDER
Last name - owner
EDWARDS
Title - owner
BOARD MEMBER
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
2062557648
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2026-01-19
First name - owner
GERALDINE
Middle name - owner
B
Last name - owner
MOURNIAN
Title - owner
MD;HOSPICE MEDICAL DIRECTOR
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
2062591290
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
MARY
Last name - owner
JACKSON
Title - owner
BOARD MEMBER
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
2769720069
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2026-01-01
First name - owner
EVAN
Last name - owner
ROMRELL
Title - owner
BOARD MEMBER
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
3274874227
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
MISTY
Last name - owner
STEADMAN
Title - owner
BOARD MEMBER
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
3577095413
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-10-01
First name - owner
MARY
Last name - owner
DONNELLY
Title - owner
DIRECTOR ONCOLOGY, HOSPICE
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
3577781061
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
BERNARD
Last name - owner
MCCARTHY
Title - owner
BOARD MEMBER
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
4486546132
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
KAREN
Last name - owner
FAGG
Title - owner
BOARD MEMBER
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
5193005379
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-11-01
First name - owner
PAMELA
Middle name - owner
CHARLENE
Last name - owner
PALAGI
Title - owner
VP FINANCE MONTANA REGION
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
5193005379
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-11-01
First name - owner
PAMELA
Middle name - owner
CHARLENE
Last name - owner
PALAGI
Title - owner
VP FINANCE MONTANA REGION
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
5193005379
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-11-01
First name - owner
PAMELA
Middle name - owner
CHARLENE
Last name - owner
PALAGI
Title - owner
VP FINANCE MONTANA REGION
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
6901195676
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
CINDY
Last name - owner
SORICH
Title - owner
BOARD MEMBER
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
6901879964
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1997-04-01
Organization name - owner
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Doing business as name - owner
INTERMOUNTAIN PHARMACY
Address line 1 - owner
500 ELDORADO BLVD
Address line 2 - owner
STE 4300
City - owner
BROOMFIELD
State - owner
CO
Zip code - owner
800213564
Percentage ownership
100
Created for acquisition - owner
N
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
Owned by another org or ind - owner
Y
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
7113932229
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-02-01
First name - owner
JANET
Last name - owner
HURLEY
Title - owner
BOARD MEMBER
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
7214279165
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
COLLEEN
Last name - owner
O'LEARY
Title - owner
BOARD MEMBER
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
7517350614
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-04-01
Organization name - owner
INTERMOUNTAIN HEALTH CARE, INC
Address line 1 - owner
36 S STATE ST
Address line 2 - owner
STE 2200
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841111470
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
Y
Other type - owner
N
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
9133467327
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
MAJEL
Last name - owner
RUSSELL
Title - owner
BOARD MEMBER
Enrollment id
O20060309000252
Associate id
8921045667
Organization name
HOLY ROSARY HEALTHCARE
Associate id - owner
9830489210
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
DANETTE
Last name - owner
GLEASON
Title - owner
BOARD MEMBER

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