Public record

CMS Home Health Agency All Owners

Associate id - owner: 4486945003 · 9 matching records

Enrollment id: O20030812000046
Associate id: 2365353992
Organization name: PROVIDENCE HEALTH & SERVICES OREGON
Associate id - owner: 4486945003
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2022-08-20
First name - owner: NICOLE
Last name - owner: SIKES
Title - owner: DIRECTOR OF BILING

Enrollment id: O20040618001385
Associate id: 2860477403
Organization name: ST JOSEPH HOME CARE NETWORK
Associate id - owner: 4486945003
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2022-08-22
First name - owner: NICOLE
Last name - owner: SIKES
Title - owner: DIRECTOR BILLING AND COLLECTIONS

Enrollment id: O20040626000489
Associate id: 2860477403
Organization name: ST JOSEPH HOME CARE NETWORK
Associate id - owner: 4486945003
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2022-08-22
First name - owner: NICOLE
Last name - owner: SIKES
Title - owner: DIRECTOR BILLING AND COLLECTIONS

Enrollment id: O20050726001243
Associate id: 0244268738
Organization name: PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA
Associate id - owner: 4486945003
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2022-08-22
First name - owner: NICOLE
Last name - owner: SIKES
Title - owner: DIRECTOR OF BILLING
Percentage ownership: 0

Enrollment id: O20061222000295
Associate id: 6305755000
Organization name: PROVIDENCE HEALTH & SERVICES OREGON
Associate id - owner: 4486945003
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2022-08-22
First name - owner: NICOLE
Last name - owner: SIKES
Title - owner: DIRECTOR

Enrollment id: O20070202000134
Associate id: 0749190759
Organization name: PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
Associate id - owner: 4486945003
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2022-08-22
First name - owner: NICOLE
Last name - owner: SIKES
Title - owner: DIRECTOR
Percentage ownership: 0

Enrollment id: O20100204000733
Associate id: 7012050644
Organization name: ST. MARY HIGH DESERT HOME HEALTH SERVICES, LLC
Associate id - owner: 4486945003
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2022-08-22
First name - owner: NICOLE
Last name - owner: SIKES
Title - owner: DIRECTOR
Percentage ownership: 0

Enrollment id: O20141217000873
Associate id: 6305755000
Organization name: PROVIDENCE HEALTH & SERVICES OREGON
Associate id - owner: 4486945003
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2022-08-22
First name - owner: NICOLE
Last name - owner: SIKES
Title - owner: DIRECTOR

Enrollment id: O20160629001405
Associate id: 9739276866
Organization name: ST JOSEPH HEALTH SYSTEM HOME CARE SERVICES LLC
Associate id - owner: 4486945003
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2022-08-22
First name - owner: NICOLE
Last name - owner: SIKES
Title - owner: DIRECTOR
Percentage ownership: 0

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