Public record

CMS Home Health Agency All Owners

Associate id - owner: 5092799668 · 16 matching records

Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT AND CEO
Enrollment id
O20131114000092
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT AND CEO
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT & CEO
Enrollment id
O20140130000739
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT AND CEO
Enrollment id
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT AND CEO
Enrollment id
O20140205000782
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT & CEO
Enrollment id
O20140210000932
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT & CEO
Enrollment id
O20140210000932
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT & CEO
Enrollment id
O20140213001418
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT & CEP
Enrollment id
O20140213001418
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT & CEO
Enrollment id
O20140324002037
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT & CEO
Enrollment id
O20140324002037
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT & CEO
Enrollment id
O20140327000607
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT, CEO
Enrollment id
O20140327000607
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT & CEO
Enrollment id
O20140429000591
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT/CEO
Enrollment id
O20140429000591
Associate id
8820224280
Organization name
AVERA AT HOME
Associate id - owner
5092799668
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-07-01
First name - owner
SANDRA
Middle name - owner
DIANE
Last name - owner
DIELEMAN
Title - owner
PRESIDENT/CEO

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