Public record

CMS Hospice All Owners

Associate id: 9234041708 · 30 matching records

Enrollment id
O20040718000008
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-01-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Enrollment id
O20040718000008
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2011-01-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Title - owner
MANAGER PROVIDER ENROLLMENT
Percentage ownership
0
Enrollment id
O20040718000008
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7315076080
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2010-01-01
First name - owner
STEVEN
Last name - owner
FIGGE
Title - owner
DIRECTOR MSO
Percentage ownership
0
Enrollment id
O20040718000008
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7315076080
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2010-01-01
First name - owner
STEVEN
Last name - owner
FIGGE
Title - owner
DIRECTOR MSO
Percentage ownership
0
Enrollment id
O20040718000008
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7618956194
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2004-07-18
First name - owner
JAMES
Last name - owner
HINTON
Title - owner
PRESIDENT/CEO
Enrollment id
O20040718000008
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7618956194
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-07-18
First name - owner
JAMES
Last name - owner
HINTON
Title - owner
PRESIDENT/CEO
Percentage ownership
0
Enrollment id
O20071127000182
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2011-01-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Title - owner
PROVIDER ENROLLMENT MANAGER
Percentage ownership
0
Enrollment id
O20071127000182
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
2769985266
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-01-01
First name - owner
HEATHER
Last name - owner
OLGUIN
Title - owner
AD;
Enrollment id
O20071127000182
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
4486888104
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-01-01
First name - owner
AHMED
Middle name - owner
A
Last name - owner
EL-EMAWY
Title - owner
MD;
Enrollment id
O20071127000182
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7315076080
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2001-01-01
First name - owner
STEVEN
Last name - owner
FIGGE
Title - owner
DIRECTOR MSO
Percentage ownership
0
Enrollment id
O20071127000182
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7315076080
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2001-01-01
First name - owner
STEVEN
Last name - owner
FIGGE
Title - owner
DIRECTOR MSO
Percentage ownership
0
Enrollment id
O20071127000182
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
8729352653
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-07-01
First name - owner
ROSEMARY
Last name - owner
COYNE
Title - owner
DIRECTOR HOSPICE
Percentage ownership
0
Enrollment id
O20100226000770
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-01-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Title - owner
MANAGER PROVIDER ENROLLMENT
Percentage ownership
0
Enrollment id
O20100226000770
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2011-01-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Title - owner
MANAGER PROVIDER ENROLLMENT
Percentage ownership
0
Enrollment id
O20100226000770
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
1254476401
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2010-01-01
First name - owner
BRAD
Last name - owner
BRYANT
Enrollment id
O20100226000770
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
5294870473
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2010-01-01
First name - owner
WILL
Last name - owner
CANTRELL
Enrollment id
O20100226000770
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7315076080
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2010-01-01
First name - owner
STEVEN
Last name - owner
FIGGE
Title - owner
DIRECTOR MSO
Enrollment id
O20100226000770
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7315076080
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2010-01-01
First name - owner
STEVEN
Last name - owner
FIGGE
Title - owner
DIRECTOR MSO
Enrollment id
O20100226000770
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
8921141227
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2010-01-01
First name - owner
THOMAS
Last name - owner
SIDWELL
Enrollment id
O20100226000770
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
8921187048
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2010-01-01
First name - owner
EDWARD
Middle name - owner
B
Last name - owner
CAZZOLA
Enrollment id
O20100226000770
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
9234041708
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2009-12-01
Organization name - owner
PRESBYTERIAN HEALTHCARE SERVICES
Doing business as name - owner
SOCORRO GENERAL HOSPITAL HOME HEALTHCARE
Address line 1 - owner
2501 BUENA VISTA SE
Address line 2 - owner
PAC SV 2100
City - owner
ALBUQUERQUE
State - owner
NM
Zip code - owner
871064260
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
O20100226000770
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
9234041708
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2009-12-01
Organization name - owner
PRESBYTERIAN HEALTHCARE SERVICES
Doing business as name - owner
SOCORRO GENERAL HOSPITAL HOME HEALTHCARE
Address line 1 - owner
2501 BUENA VISTA SE
City - owner
ALBUQUERQUE
State - owner
NM
Zip code - owner
871064260
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
O20161021000020
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2011-06-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Enrollment id
O20161021000020
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2011-06-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Title - owner
MANAGER PROVIDER ENROLLMENT DEPA
Enrollment id
O20161021000020
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7315076080
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2001-01-01
First name - owner
STEVEN
Last name - owner
FIGGE
Title - owner
DIRECTOR MSO
Enrollment id
O20161021000020
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
7315076080
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2001-01-01
First name - owner
STEVEN
Last name - owner
FIGGE
Title - owner
DIRECTOR MSO
Enrollment id
O20191105002863
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Title - owner
MANAGER PROVIDER ENROLLMENT
Enrollment id
O20191105002863
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
0840476453
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2011-01-01
First name - owner
KIMBERLY
Last name - owner
POLAND
Title - owner
MANAGER PROVIDER ENROLLMENT
Percentage ownership
0
Enrollment id
O20191105002863
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
2769985266
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2025-01-01
First name - owner
HEATHER
Last name - owner
OLGUIN
Title - owner
REGIONAL DIRECTOR
Enrollment id
O20191105002863
Associate id
9234041708
Organization name
PRESBYTERIAN HEALTHCARE SERVICES
Associate id - owner
4486888104
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2025-01-01
First name - owner
AHMED
Middle name - owner
A
Last name - owner
EL-EMAWY
Title - owner
MEDICAL DIRECTOR

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