Public record

CMS Home Health Agency All Owners

Associate id - owner: 6305127655 · 9 matching records

Enrollment id
O20030812000046
Associate id
2365353992
Organization name
PROVIDENCE HEALTH & SERVICES OREGON
Associate id - owner
6305127655
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-01-01
First name - owner
DONALD
Middle name - owner
WAYNE
Last name - owner
ANDERSON
Title - owner
ASST SEC OF ENROLLMENT/DIR REIMB AD
Enrollment id
O20040618001385
Associate id
2860477403
Organization name
ST JOSEPH HOME CARE NETWORK
Associate id - owner
6305127655
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-01-01
First name - owner
DONALD
Middle name - owner
WAYNE
Last name - owner
ANDERSON
Title - owner
ASSISTANT SECRETARY FOR ENROLLMENT
Enrollment id
O20040626000489
Associate id
2860477403
Organization name
ST JOSEPH HOME CARE NETWORK
Associate id - owner
6305127655
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-01-01
First name - owner
DONALD
Middle name - owner
WAYNE
Last name - owner
ANDERSON
Title - owner
ASSISTANT SECRETARY FOR ENROLLMENT
Enrollment id
O20050726001243
Associate id
0244268738
Organization name
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA
Associate id - owner
6305127655
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-12-20
First name - owner
DONALD
Middle name - owner
WAYNE
Last name - owner
ANDERSON
Title - owner
ASSISTANT SECRETARY FOR ENROLLMENT
Enrollment id
O20061222000295
Associate id
6305755000
Organization name
PROVIDENCE HEALTH & SERVICES OREGON
Associate id - owner
6305127655
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-01-01
First name - owner
DONALD
Middle name - owner
WAYNE
Last name - owner
ANDERSON
Title - owner
ASST SEC OF ENROLLMENT/DIR REIMB AD
Enrollment id
O20070202000134
Associate id
0749190759
Organization name
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
Associate id - owner
6305127655
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-12-20
First name - owner
DONALD
Middle name - owner
WAYNE
Last name - owner
ANDERSON
Title - owner
ASSISTANT SECRETARY FOR ENROLLMENT
Enrollment id
O20100204000733
Associate id
7012050644
Organization name
ST. MARY HIGH DESERT HOME HEALTH SERVICES, LLC
Associate id - owner
6305127655
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-05-01
First name - owner
DONALD
Middle name - owner
WAYNE
Last name - owner
ANDERSON
Title - owner
ASSISTANT SECRETARY OF ENROLLMENT
Enrollment id
O20141217000873
Associate id
6305755000
Organization name
PROVIDENCE HEALTH & SERVICES OREGON
Associate id - owner
6305127655
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-01-01
First name - owner
DONALD
Middle name - owner
WAYNE
Last name - owner
ANDERSON
Title - owner
ASSISTANT CORP SEC OF ENROLLMENT
Percentage ownership
0
Enrollment id
O20160629001405
Associate id
9739276866
Organization name
ST JOSEPH HEALTH SYSTEM HOME CARE SERVICES LLC
Associate id - owner
6305127655
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-02-03
First name - owner
DONALD
Middle name - owner
WAYNE
Last name - owner
ANDERSON
Title - owner
ASSISTANT SECRETARY FOR ENROLLMENT

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