Public record

CMS Hospice All Owners

Associate id: 9830127356 · 12 matching records

Enrollment id: O20050727000648
Associate id: 9830127356
Organization name: HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner: 0345278800
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2007-03-27
First name - owner: MARK
Last name - owner: VANECK
Percentage ownership: 0

Enrollment id: O20050727000648
Associate id: 9830127356
Organization name: HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner: 1355739160
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2019-01-01
First name - owner: DAWN
Last name - owner: POPOWSKI
Percentage ownership: 0

Enrollment id: O20050727000648
Associate id: 9830127356
Organization name: HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner: 2062877459
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2023-08-26
First name - owner: AMY
Middle name - owner: HEIDI
Last name - owner: FIER
Title - owner: DIRECTOR
Percentage ownership: 0

Enrollment id: O20050727000648
Associate id: 9830127356
Organization name: HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner: 2365355146
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2024-04-03
First name - owner: TABB
Middle name - owner: D
Last name - owner: MCCLUSKEY
Title - owner: MD;
Percentage ownership: 0

Enrollment id: O20050727000648
Associate id: 9830127356
Organization name: HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner: 4082002894
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2025-01-01
First name - owner: TRAVIS
Last name - owner: OLSEN
Title - owner: CEO
Percentage ownership: 100

Enrollment id: O20050727000648
Associate id: 9830127356
Organization name: HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner: 4082002894
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2020-08-01
First name - owner: TRAVIS
Last name - owner: OLSEN
Title - owner: AD;
Percentage ownership: 100

Enrollment id: O20050727000648
Associate id: 9830127356
Organization name: HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner: 4981632445
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 1988-07-21
First name - owner: VINCE
Last name - owner: ROBINSON
Percentage ownership: 0

Enrollment id: O20050727000648
Associate id: 9830127356
Organization name: HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner: 4981988102
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2015-08-27
First name - owner: JAMES
Last name - owner: NESS
Percentage ownership: 0

Enrollment id: O20050727000648
Associate id: 9830127356
Organization name: HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner: 5799140182
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2023-08-26
First name - owner: BRITTANY
Last name - owner: JOHNSON
Title - owner: DIRECTOR
Percentage ownership: 0

Enrollment id: O20050727000648
Associate id: 9830127356
Organization name: HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner: 7113280264
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2017-08-24
First name - owner: JOHN
Last name - owner: ENGELS
Percentage ownership: 0

Enrollment id: O20050727000648
Associate id: 9830127356
Organization name: HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner: 7810925377
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2003-08-21
First name - owner: ALLEN
Last name - owner: MOLASCON
Percentage ownership: 0

Enrollment id: O20050727000648
Associate id: 9830127356
Organization name: HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Associate id - owner: 8729513486
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2023-08-26
First name - owner: HEATHER
Last name - owner: SHAW
Title - owner: DIRECTOR
Percentage ownership: 0

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