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 Mona.Liblanc@cms.hhs.gov 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 Gwendolyn.Taylor@cms.hhs.gov 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 Joseph.Hopko@cms.hhs.gov 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 Janetta.Booker@cms.hhs.gov Region V Pamela Para CMS Region V Division of Survey & Certification 233 N. Michigan Avenue, Suite 600 Chicago, Illinois 60601 (312) 353-1089 Pamela.Para@cms.hhs.gov Region VI Emily Townsend, PhD CMS Region VI Division of Survey & Certification 1301 Young Street, Room 827 Dallas, TX 75202 (214) 767-4409 Emily.Townsend@cms.hhs.gov Region VII Julie Metz CMS Region VII Division of Survey & Certification 601 East 12th St., Room 355 Kansas, MO 64106 (816) 426-2011 Julie.Metz@cms.hhs.gov 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 Helen.Jewell@cms.hhs.gov 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 Renie.Soria@cms.hhs.gov 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 Barbara.Daggy@cms.hhs.gov 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 carter.sims@adph.state.al.us Alaska Shelley White DHSS, Health Facilities Licensure 4501 Business Park Blvd, Suite 24 Bldg L Anchorage AK 99501-1667 (907) 334-2483 shelley.white@alaska.gov American Samoa Renie Soria CMS Region IX 90 Seventh Street, Suite 5-300 (5W) San Francisco, CA 94103-6707 (415) 744-3692 renie.soria@cms.hhs.gov Arizona Connie Belden Arizona Dept. of Health Services Office of Medical Facilities 150 North 18th Avenue, Suite 450 Phoenix, AZ 85007 (602) 364-3030 connie.belden@azdhs.gov Arkansas Doug Gordon Arkansas Dept. of Health 5800 West 10th Street, Suite 400 Little Rock AR 72204-1704 (501) 661-2201 clarence.gordon@arkansas.gov California Virginia Yamashiro Field Operations Coastal Branch Licensing & Certification Program 1615 Capital Avenue, MS 3001 Sacramento CA 95899-7413 (916) 324-1266 virginia.yamashiro@cdph.ca.gov Colorado Cheryl McMahon Colorado Dept. of Health and Environment 4300 Cherry Creek South Denver, CO 80246 (303) 692-2599 cheryl.mcmahon@state.co.us 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 cheryl.davis@ct.gov Delaware Corinna Getchell Office of Health Facilities License & Cert. Chopin Building 258 Chapman Road, Suite 101 Newark, DE 19702 Phone (302) 283-7220 corinna.getchell@state.de.us District of Columbia Sharon Williams Lewis Dept. of Health 717 14th NW, Suite 750 Washington, DC 20005 (202) 442-4737 sharon.lewis@dc.gov Florida Patty Lewandowski AHCA Laboratory Unit 2727 Mahan Drive, MS #32 Tallahassee, FL 32308 (850) 487-3109 Patty.Lewandowski@ahca.myflorida.com 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 jbwilson1@dch.ga.gov Iowa Sandra Wendehl Dept. of Inspections and Appeals Health Facilities Division 321 East 12th Street Des Moines, IA 50319-0083 (515) 281-4901 Sandra.Wendehl@dia.iowa.gov Guam Renie Soria CMS DMSO Region IX 90 Seventh Street, Suite 5-300 (5W) San Francisco, CA 94103-6707 (415) 744-3692 renie.soria@cms.hhs.gov Kansas Tamara Wilkerson Kansas Dept. of Health & Environment 1000 SW Jackson, Suite 200 Topeka, KS 66612-1365 (785) 296-1263 twilkers@kdheks.gov Hawaii Angela Adriance Office of Health Care Assurance 601 Kamokila Boulevard, Room 395 Kapolei, HI 96707 (808) 692-7420 angie.adriance@doh.hawaii.gov Kentucky Deana Kehne Cabinet for Health and Family Services Office of the Inspector General 908 W. Broadway Louisville, KY 40203 (502) 595-4958 Deana.Kehne@ky.gov Idaho Nicole Wisenor Idaho Bureau of Facility Standards 3232 Elder Street Boise, ID 83705 (208) 334-6626 WisenorN@dhw.idaho.gov Illinois Karen Senger Illinois Dept. of Public Health, Division of Health 525 West Jefferson, 4th Floor Springfield, IL 62761 (217) 782-0381 Karen.Senger@illinois.gov Indiana Joyce Elder Acute Care Indiana State Department of Health 2 N Meridian Indianapolis, IN 46204 317-233-7485 jelder@isdh.in.gov 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 Rita.Simon@la.gov 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 william.montejo@maine.gov 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 barbara.fagan@maryland.gov Massachusetts Paul DiNatale Health Care Quality 99 Chauncey Street Boston, MA 02111 (617) 753-8222 Paul.DiNatale@state.ma.us Michigan Teri Dyke MI Dept. of Licensing & Regulatory Affairs Licensing & Certification Division 611 W. Ottawa Street, 1st Floor Lansing, MI 48909 (517) 335-4606 dyket@michigan.gov Minnesota Mary Absolon MN Dept. of Health Licensing & Certification Program P.O. Box 64900 St. Paul, MN 55163-0900 (651) 201-4100 mary.absolon@health.state.mn.us 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 william.nugent@health.mo.gov 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 jcaldwell@mt.gov 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 pamela.kerns@nebraska.gov Nevada Steve Gerleman Nevada State Health Division Bureau of Licensure & Certification 4220 S. Maryland Parkway, Suite D810 Las Vegas, Nevada 89119 (702) 486-6515 sgerleman@health.nv.gov 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 michael.e.fleming@dhhs.state.nh.us 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 anna.sousa@doh.state.nj.us 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 rick.pangborn@state.nm.us New York Jon Wettergreen Division of Certification and Surveillance Bureau of Facility Data and Licensure 875 Central Avenue Albany, NY 12206 (518) 402-0780 jcw03@health.state.ny.us North Carolina Azzie Conley DFS Acute and Home Care Licensure and Certification Section 2712 Mail Service Center Raleigh, NC 27699-2712 (919) 715-8059 azzie.conley@dhhs.nc.gov North Dakota Bridget Weidner ND Dept. of Health 600 East Boulevard Dept 301 Bismarck, ND 58505 (701) 328-2352 bweidner@nd.gov Northern Marianna Islands Renie Soria CMS DMSO Region IX 90 Seventh Street, Suite 5-300 (5W) San Francisco, CA 94103-6707 (415) 744-3692 renie.soria@cms.hhs.gov Ohio Wanda Iacovetta Ohio Dept. of Health 246 North High Street, Second Floor Columbus, OH 43215 (614) 387-0801 wanda.iacovetta@odh.ohio.gov Oklahoma LaTrina Frazier Medical Facilities Division OK State Dept. of Health 1000 NE 10th Street Oklahoma City, OK 73117-1299 (405) 271-6576 latrinaf@health.ok.gov Oregon John Pilmer, RN Dept. of Human Services, HCLC 800 NE Oregon Street, Suite 305 Portland, OR 97232 (971) 673-0540 john.g.pilmer@state.or.us Pennsylvania Linda Chamberlain, Director Department of Health Division of Home Health 132 Kline Plaza, Suite A Harrisburg, PA 17104 (717) 783-1379 lchamberla@pa.gov Puerto Rico Carmen Rivera Rosado SARAFS Medicare Division Former Ruiz Soler Hospital Road #2 Bayamon, PR 00959 (787) 782-0120 x2288 carivera@salud.gov.pr Rhode Island Adele Renzulli Rhode Island Dept. of Health Office of Facilities Regulation 3 Capitol Hill, Room 306 Providence, RI 02908 (401) 222-4536 adele.renzulli@health.ri.gov 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 rouemj@dhec.sc.gov 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 patricia.brinkley@state.sd.us 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) vincent.davis@tn.gov 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 derek.jakovich@dshs.state.tx.us 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 kcriddle@utah.gov Vermont Suzanne Leavitt Division of Licensing and Protection 103 South Main Street Waterbury, VT 05671-2306 (802) 871-3335 suzanne.leavitt@state.vt.us Virgin Islands Michael Daniel CMS Region II 26 Federal Plaza New York, NY 10278 (212) 616-2464 Michael.Daniel@cms.hhs.gov Virginia Frederick Kyle Virginia Dept. of Health 3600 West Broad Street Suite 216 Richmond, VA 23220-4920 (804) 367-2112 Frederick.Kyle@vdh.virginia.gov Washington Liz Gordon Department of Health Health Systems Quality Assurance Investigation & Inspection PO Box 47874 Olympia, WA 98504-7874 (360) 236-2925 elizabeth.gordon@doh.wa.gov West Virginia Michele Richards Office of Health Facilities License & Certification 408 Leon Sullivan Way Charleston, WV 25301 (304) 558-2145 Michele.E.Richards@wv.gov 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 Ann.Hansen@dhs.wisconsin.gov Wyoming Tony Madden Office of Licensing and Surveys 6106 Yellowstone Rd. Suite 400 Cheyenne, WY 82002 (307) 777-6880 anthony.madden@wyo.gov The University of Michigan Kidney Epidemiology and Cost Center April 28, 2015
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