Public record

CMS Skilled Nursing Facility All Owners

Associate id: 4587573613 · 35 matching records

Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
0244572121
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-06-08
First name - owner
CHALLIS
Last name - owner
LOWE
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
1254463060
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-09-09
First name - owner
JOHN
Middle name - owner
RICHARD
Last name - owner
CHURCH
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
1456626159
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-06-10
First name - owner
LAURA
Middle name - owner
JEAN
Last name - owner
GILLUND
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
2062826464
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-03-24
First name - owner
AMY
Middle name - owner
L
Last name - owner
RONNEBERG
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
2668367343
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
DANIEL
Middle name - owner
THOMAS
Last name - owner
O'LAUGHLIN
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
2668795444
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-05-01
First name - owner
MARCIA
Middle name - owner
LOUISE
Last name - owner
LINDIG
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
2668795444
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-11-10
First name - owner
MARCIA
Middle name - owner
LOUISE
Last name - owner
LINDIG
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
3072425081
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-03-24
First name - owner
MAYKAO
Middle name - owner
Y
Last name - owner
HANG
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
3173842986
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-03-15
First name - owner
DAVID
Middle name - owner
ALLAN
Last name - owner
JOOS
Title - owner
PRESIDENT
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
3173842986
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-03-15
First name - owner
DAVID
Middle name - owner
ALLAN
Last name - owner
JOOS
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
3274074380
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-06-14
First name - owner
BRIAN
Last name - owner
MCGRANE
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
3274420963
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-06-13
First name - owner
MARNA
Last name - owner
BORGSTROM
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
3375816234
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-06-10
First name - owner
JENNIFER
Middle name - owner
SOO
Last name - owner
ALSTAD
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
3577982453
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-03-24
First name - owner
SHARI
Middle name - owner
L
Last name - owner
BALLARD
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
4183988520
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-12-01
First name - owner
TIMOTHY
Middle name - owner
ALOYSIUS
Last name - owner
WELSH
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
4486985702
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-03-24
First name - owner
VICKI
Last name - owner
RASMUSEN
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
4587573613
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2013-06-01
Organization name - owner
ALLINA HEALTH SYSTEM
Doing business as name - owner
ALLINA HEALTH COMPOUNDING PHARMACY
Address line 1 - owner
2925 CHICAGO AVE
City - owner
MINNEAPOLIS
State - owner
MN
Zip code - owner
554071321
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
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
4587573613
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-06-01
Organization name - owner
ALLINA HEALTH SYSTEM
Doing business as name - owner
ALLINA HEALTH COMPOUNDING PHARMACY
Address line 1 - owner
2925 CHICAGO AVE
City - owner
MINNEAPOLIS
State - owner
MN
Zip code - owner
554071321
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
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
5092941864
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-06-13
First name - owner
DEBBRA
Last name - owner
SCHONEMAN
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
5193252567
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-09-13
First name - owner
JAMES
Last name - owner
KOLAR
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
5193777217
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
LISA
Last name - owner
SHANNON
Title - owner
PRESIDENT AND CEO
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
5799078598
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-09-13
First name - owner
SHAWN
Middle name - owner
M
Last name - owner
ULREICH
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
6103263637
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-02-20
First name - owner
CHANDA
Middle name - owner
L
Last name - owner
BAKER
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
6204749922
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-06-13
First name - owner
MELINDA
Last name - owner
ESTES
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
6204893001
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-08-01
First name - owner
HEIDI
Middle name - owner
BOSCH
Last name - owner
STREET
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
6204893001
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2013-09-01
First name - owner
HEIDI
Middle name - owner
BOSCH
Last name - owner
STREET
Title - owner
MEDICAL DIRECTOR
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
6204893001
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-11-26
First name - owner
HEIDI
Middle name - owner
BOSCH
Last name - owner
STREET
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
6901169606
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-06-12
First name - owner
LOUIS
Middle name - owner
JULIUS
Last name - owner
KING
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
7618054271
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-09-13
First name - owner
RUTH
Middle name - owner
EVELYN
Last name - owner
WILLIAMS-BRINKLEY
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
7719897586
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1985-10-28
First name - owner
PATRICIA
Middle name - owner
W
Last name - owner
SCHIRMERS
Title - owner
DIRECTOR
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
7719897586
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
1985-10-28
First name - owner
PATRICIA
Middle name - owner
W
Last name - owner
SCHIRMERS
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
7810260775
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-06-10
First name - owner
BARBARA
Middle name - owner
A BUTTS
Last name - owner
WILLIAMS
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
8729209879
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-03-12
First name - owner
THOMAS
Middle name - owner
S
Last name - owner
SCHREIER
Title - owner
BOARD MEMBER
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
9739196924
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-03-11
First name - owner
DOMINICA
Middle name - owner
MARIE
Last name - owner
TALLARICO
Title - owner
COO
Enrollment id
O20130627000906
Associate id
4587573613
Organization name
ALLINA HEALTH SYSTEM
Associate id - owner
9830489079
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-10-11
First name - owner
ROGER
Middle name - owner
SCOTT
Last name - owner
NEWCOME
Title - owner
MANAGER

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