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CMS State & Region Master Account Holders for FY2015
Region I
Mona Liblanc
CMS Region I
Division of Survey & Certification
JFK Federal Building, Suite 2325
15 Sudbury Street
Boston, MA 02203-0003
(617) 565-1243
[email protected]
Region II
Gwendolyn Taylor
CMS Region II
Division of Survey & Certification
Jacob K. Javits Federal Building
26 Federal Plaza
New York, NY 10278-0063
(212) 616-2484
[email protected]
Region III
Joseph Hopko
CMS Region III
Division of Survey & Certification
The Public Ledger Building, Suite 216
150 S. Independence Mall West
Philadelphia, PA 19106
(215) 861-4314
[email protected]
Region IV
Janetta Booker
CMS Region IV
Division of Survey & Certification
Atlanta Federal Center
61 Forsythe Street SW, Suite 4T20
Atlanta, GA 30303-8909
(404) 562-7343
[email protected]
Region V
Pamela Para
CMS Region V
Division of Survey & Certification
233 N. Michigan Avenue, Suite 600
Chicago, Illinois 60601
(312) 353-1089
[email protected]
Region VI
Emily Townsend, PhD
CMS Region VI
Division of Survey & Certification
1301 Young Street, Room 827
Dallas, TX 75202
(214) 767-4409
[email protected]
Region VII
Julie Metz
CMS Region VII
Division of Survey & Certification
601 East 12th St., Room 355
Kansas, MO 64106
(816) 426-2011
[email protected]
Region VIII
Helen Jewell
CMS Region VIII
Certification & Enforcement Branch
1961 Stout Street, Room 08-148
Denver, CO 80294
Telephone: 303-844-7048
FAX: 443-380-5529
[email protected]
Region IX
Renie Soria
CMS Region IX
Division of Survey & Certification
90 Seventh Street, Suite 5-300 (5W)
San Francisco, CA 94103-6706
(415) 744-3692
[email protected]
Region X
Barbara Daggy
CMS Region X
Division of Survey & Certification
701 Fifth Avenue, Suite 1600 (M/S RX-400)
Seattle, WA 98104
(206) 615-2516
[email protected]
The University of Michigan Kidney Epidemiology and Cost Center
April 28, 2015
CMS State & Region Master Account Holders for FY2015
Alabama
Carter Sims, RN, BSN
Licensure & Certification Supervisor
Bureau of Health Provider Standards
201 Monroe Street, Suite 1230
Montgomery, AL 36104
(334) 206-7916
[email protected]
Alaska
Shelley White
DHSS, Health Facilities Licensure
4501 Business Park Blvd, Suite 24 Bldg L
Anchorage AK 99501-1667
(907) 334-2483
[email protected]
American Samoa
Renie Soria
CMS Region IX
90 Seventh Street, Suite 5-300 (5W)
San Francisco, CA 94103-6707
(415) 744-3692
[email protected]
Arizona
Connie Belden
Arizona Dept. of Health Services
Office of Medical Facilities
150 North 18th Avenue, Suite 450
Phoenix, AZ 85007
(602) 364-3030
[email protected]
Arkansas
Doug Gordon
Arkansas Dept. of Health
5800 West 10th Street, Suite 400
Little Rock AR 72204-1704
(501) 661-2201
[email protected]
California
Virginia Yamashiro
Field Operations Coastal Branch
Licensing & Certification Program
1615 Capital Avenue, MS 3001
Sacramento CA 95899-7413
(916) 324-1266
[email protected]
Colorado
Cheryl McMahon
Colorado Dept. of Health and Environment
4300 Cherry Creek South
Denver, CO 80246
(303) 692-2599
[email protected]
Connecticut
Cheryl A. Davis
State Of Connecticut
Department of Public Health
Facility Licensing & Investigations Section
410 Capitol Avenue, MS 12FLIS
PO Box 340308
Hartford, CT 06134
(860) 509-7436
[email protected]
Delaware
Corinna Getchell
Office of Health Facilities License & Cert.
Chopin Building
258 Chapman Road, Suite 101
Newark, DE 19702
Phone (302) 283-7220
[email protected]
District of Columbia
Sharon Williams Lewis
Dept. of Health
717 14th NW, Suite 750
Washington, DC 20005
(202) 442-4737
[email protected]
Florida
Patty Lewandowski
AHCA Laboratory Unit
2727 Mahan Drive, MS #32
Tallahassee, FL 32308
(850) 487-3109
[email protected]
The University of Michigan Kidney Epidemiology and Cost Center
April 28, 2015
CMS State & Region Master Account Holders for FY2015
Georgia
Jean Barbee-Wilson
Healthcare Facility Regulation
Suite 31.473
2 Peachtree Street, NW
Atlanta, GA 30303-3142
(404) 657-5421
[email protected]
Iowa
Sandra Wendehl
Dept. of Inspections and Appeals
Health Facilities Division
321 East 12th Street
Des Moines, IA 50319-0083
(515) 281-4901
[email protected]
Guam
Renie Soria
CMS DMSO Region IX
90 Seventh Street, Suite 5-300 (5W)
San Francisco, CA 94103-6707
(415) 744-3692
[email protected]
Kansas
Tamara Wilkerson
Kansas Dept. of Health & Environment
1000 SW Jackson, Suite 200
Topeka, KS 66612-1365
(785) 296-1263
[email protected]
Hawaii
Angela Adriance
Office of Health Care Assurance
601 Kamokila Boulevard, Room 395
Kapolei, HI 96707
(808) 692-7420
[email protected]
Kentucky
Deana Kehne
Cabinet for Health and Family Services
Office of the Inspector General
908 W. Broadway
Louisville, KY 40203
(502) 595-4958
[email protected]
Idaho
Nicole Wisenor
Idaho Bureau of Facility Standards
3232 Elder Street
Boise, ID 83705
(208) 334-6626
[email protected]
Illinois
Karen Senger
Illinois Dept. of Public Health, Division of
Health
525 West Jefferson, 4th Floor
Springfield, IL 62761
(217) 782-0381
[email protected]
Indiana
Joyce Elder
Acute Care
Indiana State Department of Health
2 N Meridian
Indianapolis, IN 46204
317-233-7485
[email protected]
Louisiana
Rita Simon
LA Dept. of Health & Hospitals
Health Standards Section
825 Kaliste Saloom Rd
Brandywine III, Suite 200
Lafayette, LA 70508
(225) 342-2205
[email protected]
Maine
William Montejo
Division of Licensing & Certification
Maine Dept. of Health and Human Services
41 Anthony Avenue
11 State House Station
Augusta, ME 04333
(207) 287-9301
[email protected]
The University of Michigan Kidney Epidemiology and Cost Center
April 28, 2015
CMS State & Region Master Account Holders for FY2015
Maryland
Barbara Fagan
DHMH, Office of Health Care Quality
55 Wade Avenue
Catonsville, MD 21228
(410) 402-8040
[email protected]
Massachusetts
Paul DiNatale
Health Care Quality
99 Chauncey Street
Boston, MA 02111
(617) 753-8222
[email protected]
Michigan
Teri Dyke
MI Dept. of Licensing & Regulatory Affairs
Licensing & Certification Division
611 W. Ottawa Street, 1st Floor
Lansing, MI 48909
(517) 335-4606
[email protected]
Minnesota
Mary Absolon
MN Dept. of Health
Licensing & Certification Program
P.O. Box 64900
St. Paul, MN 55163-0900
(651) 201-4100
[email protected]
Mississippi
Robin Winstead
MS Department of Health
Licensure and Certification
143-B LeFleur’s Square
Jackson, MS 39211
(601) 364-1107
Robin.Winstead@msdh. ms.gov
Missouri
William Nugent
Dept. of Health and Senior Services
Bureau of Health Services Regulation
PO Box 570
Jefferson City, MO 65102-0570
(573) 751-6303
[email protected]
Montana
Jill Caldwell
Dept. of Public Health &Human Services
Certification Bureau
Quality Assurance Division
2401 Colonial Drive, Second Floor
Helena, MT 59620
(406) 444-2099
[email protected]
Nebraska
Pamela Kerns
NE Health & Human Services
Dept. of Regulation &
Licensure/Credentialing Division
301 Centennial Mall Street
PO Box 94986
Lincoln, NE 68509-4986
(402) 471-3651
[email protected]
Nevada
Steve Gerleman
Nevada State Health Division
Bureau of Licensure & Certification
4220 S. Maryland Parkway, Suite D810
Las Vegas, Nevada 89119
(702) 486-6515
[email protected]
New Hampshire
Michael E. Fleming
Bureau of Health Facilities Administration
Office of Operations Support
NH Dept of Health & Human Services
129 Pleasant Street
Concord, NH 03301
(603) 271-9011
[email protected]
New Jersey
Anna Sousa
NJ Dept. of Health
Health Facilities Evaluation & Licensing
P.O. Box 367
120 S. Stockton St
Trenton, NJ 08625
(609) 292-9900
[email protected]
The University of Michigan Kidney Epidemiology and Cost Center
April 28, 2015
CMS State & Region Master Account Holders for FY2015
New Mexico
Richard Pangborn
Health Facility Licensing & Certification
Division of Health Improvement
Department of Health
5301 Central Ave., NE, Suite 400
Albuquerque, NM 87108
(505) 841-5812
[email protected]
New York
Jon Wettergreen
Division of Certification and Surveillance
Bureau of Facility Data and Licensure
875 Central Avenue
Albany, NY 12206
(518) 402-0780
[email protected]
North Carolina
Azzie Conley
DFS Acute and Home Care
Licensure and Certification Section
2712 Mail Service Center
Raleigh, NC 27699-2712
(919) 715-8059
[email protected]
North Dakota
Bridget Weidner
ND Dept. of Health
600 East Boulevard
Dept 301
Bismarck, ND 58505
(701) 328-2352
[email protected]
Northern Marianna Islands
Renie Soria
CMS DMSO Region IX
90 Seventh Street, Suite 5-300 (5W)
San Francisco, CA 94103-6707
(415) 744-3692
[email protected]
Ohio
Wanda Iacovetta
Ohio Dept. of Health
246 North High Street, Second Floor
Columbus, OH 43215
(614) 387-0801
[email protected]
Oklahoma
LaTrina Frazier
Medical Facilities Division
OK State Dept. of Health
1000 NE 10th Street
Oklahoma City, OK 73117-1299
(405) 271-6576
[email protected]
Oregon
John Pilmer, RN
Dept. of Human Services, HCLC
800 NE Oregon Street, Suite 305
Portland, OR 97232
(971) 673-0540
[email protected]
Pennsylvania
Linda Chamberlain, Director
Department of Health
Division of Home Health
132 Kline Plaza, Suite A
Harrisburg, PA 17104
(717) 783-1379
[email protected]
Puerto Rico
Carmen Rivera Rosado
SARAFS
Medicare Division
Former Ruiz Soler Hospital Road #2
Bayamon, PR 00959
(787) 782-0120 x2288
[email protected]
Rhode Island
Adele Renzulli
Rhode Island Dept. of Health
Office of Facilities Regulation
3 Capitol Hill, Room 306
Providence, RI 02908
(401) 222-4536
[email protected]
The University of Michigan Kidney Epidemiology and Cost Center
April 28, 2015
CMS State & Region Master Account Holders for FY2015
South Carolina
Mary Jo Roue
SC Dept. of Health & Environmental
Control
Bureau of Certification, Health Provider
Division
1777 St. Julian Place, Suite 302
Columbia, SC 29204(803) 545-4293
[email protected]
South Dakota
Patricia Brinkley, RN
Office of Health Care Facilities Licensure &
Certification
SD Dept. of Health
1200 N West Avenue
Sioux Falls, SD 57104-1335
(605) 367-5375
[email protected]
Tennessee
Vincent L. Davis, MPH
Director, Health Care Facilities
Tennessee State Department of Health
Division of Health Care Facilities
227 French Landing, Suite 501
Heritage Place Metrocenter
Nashville, TN 37243
(615) 741-7532 (V)
[email protected]
Texas
Derek Jakovich, JD, MBA, MHA
Texas Dept. of State Health Services
P.O. Box 149347
Mail Code 1979
Austin, TX 78714-9347
(512) 834-6700 x2374
[email protected]
Utah
Kelly Criddle
Utah Dept. of Health
Bureau of Licensing, Certification, and
Resident Assessment
Cannon Health Building
288 North 1460 West, Box 144103
Salt Lake City, UT 84116
(801) 538-6545
[email protected]
Vermont
Suzanne Leavitt
Division of Licensing and Protection
103 South Main Street
Waterbury, VT 05671-2306
(802) 871-3335
[email protected]
Virgin Islands
Michael Daniel
CMS Region II
26 Federal Plaza
New York, NY 10278
(212) 616-2464
[email protected]
Virginia
Frederick Kyle
Virginia Dept. of Health
3600 West Broad Street
Suite 216
Richmond, VA 23220-4920
(804) 367-2112
[email protected]
Washington
Liz Gordon
Department of Health
Health Systems Quality Assurance
Investigation & Inspection
PO Box 47874
Olympia, WA 98504-7874
(360) 236-2925
[email protected]
West Virginia
Michele Richards
Office of Health Facilities
License & Certification
408 Leon Sullivan Way
Charleston, WV 25301
(304) 558-2145
[email protected]
The University of Michigan Kidney Epidemiology and Cost Center
April 28, 2015
CMS State & Region Master Account Holders for FY2015
Wisconsin
Ann M. Hansen
Bureau of Health Services
Division of Quality Assurance
1 West Wilson Street, Room 1151
Madison, WI 53701-2969
(608) 266-0269
[email protected]
Wyoming
Tony Madden
Office of Licensing and Surveys
6106 Yellowstone Rd.
Suite 400
Cheyenne, WY 82002
(307) 777-6880
[email protected]
The University of Michigan Kidney Epidemiology and Cost Center
April 28, 2015