DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES 1 State Survey Agency Directory – April 2021 State Last Name First Name Address Work Number Fax Number E-Mail Address Alabama VACANT VACANT Assistant State Health Officer for Regulatory Affairs, Bureau of Health Providers Standards Alabama Department of Public Health PO Box 303017, Suite 700 Montgomery, AL 36130-3017 N/A N/A N/A Alabama Blair Dennis Director, Bureau of Health Providers Standards Alabama Department of Public Health PO Box 303017, Suite 700 Montgomery, AL 36130-3017 334-206-9369 Fax Number 334-206-5303 [email protected]Alabama Blankenship Tonya Non-Long Term Care Director, Bureau of Health Provider Standards (Same as above) 334-206-7039 Fax Number 334-206-5303 [email protected]Alabama Sadler Mia State Program Director Bureau of Health Provider Standards (Same as above) 334-206-5216 Fax Number 334-206-5303 [email protected]Alabama Pezent Lisa Long Term Care Director Bureau of Health Provider Standards (Same as above) 334-206-5123 Fax Number 334-206-5158 [email protected]Alabama Blair Dennis Primary Emergency Contact 334-206-9369 Fax Number 334-206-5303 [email protected]Alaska Vincent Brenda Health Facilities Survey Manager Health Facilities Licensing and Certification Division of Health Care Services Alaska Department of Health & Social Services 4501 Business Park Blvd, Bldg. L Anchorage, AK 99503 907-334-2483 907-538-6178 Fax Number 907-334-2682 [email protected]Alaska Walker Jamie Division Deputy Director Division of Health Care Services Alaska Department of Health & Social Services 4501 Business Park Blvd. Bldg. L Anchorage, AK 99503 907-334-2406 Fax Number 907-334-2682 [email protected]Alaska Gayhart Renee Division Director Division of Health Care Services Alaska Department of Health & Social Services PO Box 110601 Juneau, AK 99811-0601 907-465-1184 Fax Number 907-334-2682 [email protected]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES
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State Survey Agency Directory – April 2021
State Last Name First Name Address Work Number Fax Number E-Mail Address
Alabama VACANT VACANT Assistant State Health Officer for Regulatory Affairs, Bureau of Health Providers Standards Alabama Department of Public Health PO Box 303017, Suite 700 Montgomery, AL 36130-3017
N/A N/A N/A
Alabama Blair Dennis Director, Bureau of Health Providers Standards Alabama Department of Public Health PO Box 303017, Suite 700 Montgomery, AL 36130-3017
Alaska Vincent Brenda Health Facilities Survey Manager Health Facilities Licensing and Certification Division of Health Care Services Alaska Department of Health & Social Services 4501 Business Park Blvd, Bldg. L Anchorage, AK 99503
Alaska Walker Jamie Division Deputy Director Division of Health Care Services Alaska Department of Health & Social Services 4501 Business Park Blvd. Bldg. L Anchorage, AK 99503
Alaska Gayhart Renee Division Director Division of Health Care Services Alaska Department of Health & Social Services PO Box 110601 Juneau, AK 99811-0601
Alaska Perius Mary Nurse Consultant 1 - Supervisor Health Facilities Licensing and Certification Division of Health Care Services Alaska Department of Health & Social Services 4501 Business Park Blvd. Bldg. L Anchorage, Alaska 99503
Alaska Thomas Matthew Health Facilities Survey Manager – Nurse Consultant 2 Health Facilities Licensing and Certification Division of Health Care Services Alaska Department of Health & Social Services 4501 Business Park Blvd, Bldg. L Anchorage, AK 99503
Alaska Jilly Bernard Laboratory Director State Public Health Laboratories Division of Public Health 5455 Dr. Martin Luther King Jr. Ave. Anchorage, AK 99507-2107
Alaska Ross Katherine CLIA Program, State Public Health Laboratories Division of Public Health 5455 Dr. Martin Luther King Jr. Ave. Anchorage, AK 99507-2107
Arizona VACANT VACANT Branch Chief Healthcare Institution Licensing Arizona Department of Health Services 150 N. 18th Avenue, Suite #450 Phoenix, AZ 85007
Arizona Herrington Don Assistant Director for Public Health Preparedness Arizona Department of Health Services 150 N. 18th Ave, Suite #500 Phoenix, AZ 85007
Arkansas Bennett Becky Section Chief Health Facility Services Arkansas Department of Health 5800 West 10th Street, Suite 400 Little Rock, AR 72204-1704
Arkansas Shockley Carol Director Office of Long Term Care Division of Provider Services & Quality Assurance Department of Human Services PO Box 8059, Mail Slot S409 Little Rock, AR 72203
DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES
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California Iacino Jean Deputy Director
Center for Health Care Quality Licensing & Certification Program California Department of Public Health 1615 Capitol Avenue, MS 0512 PO Box 997377 Sacramento, CA 95899-7377
California Vivona Scott Assistant Deputy Director Center for Health Care Quality Licensing & Certification Program California Department of Public Health 1615 Capitol Avenue, MS 0512 PO Box 997377 Sacramento, CA 95899-7377
California Dunham Cassie Chief of Field Operations, Long Term Care Center for Health Care Quality Licensing & Certification Program California Department of Public Health 1615 Capitol Avenue, MS 3001 PO Box 997377 Sacramento, CA 95899-7377
California Yamashiro Virginia Chief of Field Operations, Non-Long Term Care Center for Health Care Quality Licensing & Certification Program California Department of Public Health 1615 Capitol Avenue, MS 3001 PO Box 997377 Sacramento, CA 95899-7377
California Howard Christopher Chief of Policy and Planning Center for Health Care Quality Licensing & Certification Program California Department of Public Health 1615 Capitol Avenue, MS 0512 PO Box 997377 Sacramento, CA 95899-7377
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1615 Capitol Avenue, MS 3001
PO Box 997377 Sacramento, CA 95899-7377
California Morikawa Eric Branch Chief Center for Health Care Quality Licensing & Certification Program California Department of Public Health 1615 Capitol Avenue, MS 3001 PO Box 997377 Sacramento, CA 95899-7377
California Barbusca Andrew Branch Chief Center for Health Care Quality Licensing & Certification Program California Department of Public Health 1615 Capitol Avenue, MS 3001 PO Box 997377 Sacramento, CA 95899-7377
California Lincer Jackie Branch Chief Licensing and Certification Program California Department of Public Health 681 So Parker St., Suite 200 Orange, CA 92868
California Paschke Tina Branch Chief Center for Health Care Quality Licensing & Certification Program California Department of Public Health 1615 Capitol Avenue, MS 3001 PO Box 997377 Sacramento, CA 95899-7377
California Reeves Colleen Branch Chief Center for Health Care Quality Licensing & Certification Program California Department of Public Health 625 E. Carnegie Drive, Suite 280 San Bernardino, CA 92408
DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES
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California Resurreccion Lena Branch Chief
Center of Health Care Quality Licensing & Certification Program California Department of Public Health 464 W. 4th Street, Suite 529 San Bernardino, CA 92401
California Gutierrez Maria Branch Chief Resource and Operations Management Branch Center for Health Care Quality Licensing & Certification Program California Department of Public Health 1615 Capitol Avenue, MS 3001 PO Box 997377 Sacramento, CA 95899-7377
California Kimsey, Ph.D. Paul Deputy Director Office of the Public Health Laboratory Director 850 Marina Bay Parkway, Building P, 3rd Floor Richmond, CA 94803-6403
California McCallum Donna Section Chief, CLIA Office of the Public Health Laboratory Director Laboratory Field Services 320 West 4th Street, Suite 890 Los Angeles, CA 90013-2398
Colorado Kuykendall Randy Director, Health Facilities & Emergency Medical Services Division Colorado Department Public Health & Environment 4300 Cherry Creek Drive South, HFEMSD C-2 Denver, CO 80246-1530
Connecticut Cass Barbara Branch Chief CT Department of Public Health Facilities Licensing & Investigations Section 410 Capitol Ave. MS #12 HSR PO Box 340308 Hartford, CT 06134-0308
Lewis Sharon Health Regulation & Licensing Administration Senior Deputy Director, Department of Health 899 North Capitol Street, NE, 2nd Floor Washington, DC 20002
VACANT VACANT Health Regulation & Licensing Administration Program Manager, Department of Health 899 North Capitol Street, NE, 2nd Floor Washington, DC 20002
202-442-0000 Fax Number 202-442-9430
District of Columbia
(DC)
Longstreth Veronica Health Regulation & Licensing Administration Associate Director: Office of Health Facilities Department of Health 899 North Capitol Street, NE, 2nd Floor Washington, DC 20002
Florida McKinstry Molly Deputy Secretary Agency for Health Care Administration Division of Health Quality Assurance 2727 Mahan Drive, Mail Stop 1 Tallahassee, FL 32308
Florida Smoak Kimberly State Survey Agency Director Chief of Field Operations Assistant Deputy Secretary Agency for Health Care Administration Division of Health Quality Assurance 2727 Mahan Drive, Mail Stop #59 Tallahassee, FL 32308
Georgia Wright Elaine Deputy Division Chief Healthcare Facility Regulation Division Georgia Department of Community Health 2 Peachtree St., NW, Suite 31-403 Atlanta, GA 30303
Georgia Johnson Canessa Director, Survey & Certification Programs Healthcare Facility Regulation Division Georgia Department of Community Health 2 Peachtree Street, NW Suite 31-472 Atlanta, GA 30303-3142
Georgia Miranda Andrea Director, Long Term Care Program Healthcare Facility Regulation Division Georgia Department of Community Health Suite 31-442 2 Peachtree Street, NW Atlanta, GA 30303-3142
Georgia Nadeau Kelly Secondary/Alternate Emergency Contact Director, Healthcare Community Preparedness Program Emergency Preparedness and Response Georgia Department of Public Health
Hawaii Ridley Keith Primary Emergency Contact Chief, Office of Health Care Assurance Hawaii State Department of Health 601 Kamokila Blvd, Room 337 Kapolei, HI 96707
Illinois Olson Joanne Acting Deputy Director Illinois Department of Public Health Office of Health Care Regulation 525 West Jefferson Street, 5th Floor Springfield, IL 62761-0001
Illinois Senger Karen Illinois Department of Public Health Division Chief Division of Health Care Facilities and Programs 525 W. Jefferson St., 4th Floor Springfield, IL 62761-0001
Illinois Cano Alfonso Illinois Department of Public Health Bureau Chief Bureau of Long-Term Care Acting Division Chief, Long-Term Care Quality Assurance Office of Health Care Regulation 525 West Jefferson Street, 5th Floor Springfield, IL 62761-0001
Illinois Kowalenko Henry Illinois Department of Public Health Division Chief, Life Safety and Construction Office of Health Care Regulation 525 West Jefferson Street, 4th Floor Springfield, IL 62761-0001
Indiana Whitson Terry Health Care Quality and Regulatory Services Commission Indiana State Department of Health 2 North Meridian Street, Section 4 Selig Indianapolis, IN 46204
Indiana Whitson Terry Primary Emergency Contact Health Care Quality and Regulatory Services Commission Indiana State Department of Health 2 North Meridian Street, Section 4 Selig Indianapolis, IN 46204
Indiana Rhoades Kim Secondary/Alternate Emergency Contact Director, Division of Long Term Care Indiana State Department of Health 2 North Meridian Street, Section 4B Indianapolis, IN 46204
Kansas Thurness Codi Commissioner of Survey Certification and Credentialing Commission Kansas Department for Aging and Disability Services 612 S. Kansas Ave. Topeka, KS 66603-1365
Kansas Jirik Angela Program Manager, Acute & Continuing Care (Hospital Division) Kansas Department of Health & Environment Bureau of Community Health Systems Health Facilities Programs 1000 SW Jackson, Suite 330 Topeka, KS 66612-1365
Kansas Kuehn Robbin Program Manager, Acute & Continuing Care (Non-Hospital Division) Kansas Department of Health & Environment Bureau of Community Health Systems Health Facilities Programs
Kansas Mille Melissa Director of Survey and Certification-Survey Certification and Credentialing Commission Kansas Department for Aging and Disability Services 612 S. Kansas Ave. Topeka, KS 66603-1365
Kansas St. Peter Marilyn Director Health Facilities Program Acute & Continuing Care Kansas Department of Health & Environment Bureau of Community Health Systems Health Facilities Program 1000 SW Jackson, Suite 330 Topeka, KS 66612-1365
DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES
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Kansas McNulty Michael Primary Emergency Contact – KDADS Same as above Same as above Same as above
Kentucky Mather Adam Inspector General Cabinet for Health and Family Services Office of the Inspector General 275 East Main Street, 5 E-A Frankfort, KY 40621-0001
Kentucky Daniels Kara Deputy Inspector General Cabinet for Health and Family Services Office of the Inspector General 275 East Main Street, 5 E-A Frankfort, KY 40621-0001
Kentucky Poynter Melanie Assistant Director, Division of Health Care Cabinet for Health and Family Services 275 East Main Street, 5 E-A Frankfort, KY 40621-0001
Kentucky Beard Belinda Assistant Director, Division of Health Care Cabinet for Health and Family Services 275 East Main Street, 5 E-A Frankfort, KY 40621-0001
Kentucky Aitkin Jackie Primary Emergency Contact Director, Division of Health Care Cabinet for Health and Family Services 275 East Main Street, 5 E-A Frankfort, KY 40621-0001
Kentucky Poynter Melanie Secondary/Alternate Emergency Contact Assistant Director, Division of Health Care Cabinet for Health and Family Services 275 East Main Street, 5 E-A Frankfort, KY 40621-0001
Kentucky Beard Belinda Secondary/Alternate Emergency Contact Assistant Director, Division of Health Care Cabinet for Health and Family Services 275 East Main Street, 5 E-A Frankfort, KY 40621-0001
Maine Montejo Bill Director Division of Licensing & Certification, Maine Department of Health and Human Services 41 Anthony Avenue 11 State House Station Augusta, ME 04333
Maine Hadyniak Lynn Assistant Director Medical Facilities Unit Division of Licensing & Certification, Maine Department of Health and Human Services 41 Anthony Avenue 11 State House Station Augusta, ME 04333
Maine Turcotte Anna Training Coordinator Division of Licensing & Certification Maine Department of Health and Human Services 41 Anthony Avenue 11 State House Station Augusta, ME 04333
Maine Smith Marcia Quality Improvement and Evaluation System Coordinator Division of Licensing & Certification Maine Department of Health and Human Services 41 Anthony Avenue 11 State House Station Augusta, ME 04333
Maine Hadyniak Lynn Secondary/Alternate Emergency Contact Division of Licensing & Certification Maine Department of Health and Human Services 41 Anthony Avenue 11 State House Station Augusta, ME 04330
Massachusetts Bramante Michelle Certification Unit Manager Division of Health Care Facility Licensure and Certification 67 Forest Street Marlboro, MA 01752
Massachusetts Milesky Kerin Primary Emergency Contact - Director Office of Preparedness and Emergency Management Massachusetts Department of Public Health 250 Washington Street Boston, MA 02108
Massachusetts Quinn Donna Secondary/Alternate Emergency Contact Deputy Director Office of Preparedness and Emergency Management Massachusetts Department of Public Health 250 Washington Street Boston, MA 02108
Michigan Roepke Michelle Director Federal Survey and Certification Division Bureau of Community and Health Systems, LARA 611 West Ottawa Street, PO Box 30664 Lansing, MI 48909
Minnesota VACANT VACANT Division Director Health Regulation Division Minnesota Department of Health, PO Box 64900 St. Paul, MN 55164-0900
N/A N/A
Minnesota VACANT VACANT Assistant Division Director (same as above) N/A N/A Minnesota Winkelmann Susan Assistant Division Director (same as above) 651-201-5952 Fax Number
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Mississippi Austin Michelle Bureau Director, Long Term Care Mississippi State Department of Health Bureau of Health Facilities Licensure & Certification 143 B LeFleur’s Square Jackson, MS 39211 PO Box 1700 Jackson, MS 39215-1700
Mississippi Fair Frances Chief Nurse / Director Mississippi State Department of Health Bureau of Health Facilities Licensure & Certification 143 B LeFleur’s Square Jackson, MS 39211 P O Box 1700 Jackson, MS 39215-1700
Mississippi Wood Glenn Bureau Director, Non-LTC Mississippi State Department of Health Bureau of Health Facilities Licensure & Certification 143 B LeFleur’s Square Jackson, MS 39211 PO Box 1700 Jackson, MS 39211
Mississippi Cheatham Nancy DH-PH Laboratory Services Director , CLIA Program Manager Mississippi State Department of Health Bureau of Health Facilities Licensure & Certification 143 B LeFleur’s Square Jackson, MS 39211 PO Box 1700 Jackson, MS 39215-1700
DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES
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Mississippi McInnis Derrick Deputy Bureau Director
Life Safety Code (LSC) Unit Mississippi State Department of Health Bureau of Health Facilities Licensure & Certification 143 B LeFleur’s Square Jackson, MS 39211 PO Box 1700 Jackson, MS 39215-1700
Mississippi Pate Linda Division Director, LTC, Northwest District Mississippi State Department of Health Bureau of Health Facilities Licensure & Certification 143 B LeFleur’s Square Jackson, MS 39211
Mississippi Fair Frances Division Director, LTC, Northeast District Mississippi State Department of Health Bureau of Health Facilities Licensure & Certification 143 B LeFleur’s Square Jackson, MS 39211 PO Box 1700 Jackson, MS 39215-1700
Mississippi Owens Dawn Division Director – LTC, South District Mississippi State Department of Health Bureau of Health Facilities Licensure & Certification 143B Lefleur’s Square Jackson, MS 39211 PO Box 1700 Jackson, MS 39215-1700
Director Health Emergency Planning and Response Mississippi State Department of Health Office of Emergency Planning and Response 1 MEMA Drive Pearl, MS 39200
Mississippi Holsapple Wes Secondary/Alternate Emergency Contact State Healthcare Coalition and Training Coordinator Mississippi State Department of Health Office of Emergency Planning and Response 310 Airport Road, Suite B Pearl, MS 39208
Missouri Bollin Steve Director, Division of Regulation and Licensure Missouri Department of Health and Senior Services PO Box 570 Jefferson City, MO 65102-0570
Missouri Schnieders Craig Deputy Director, Div. of Regulation and Licensure Missouri Department of Health and Senior Services PO Box 570 Jefferson City, MO 65102-0570
Missouri Koebel William Administrator Section for Health Standards and Licensure Missouri Department of Health and Senior Services PO Box 570 Jefferson City, MO 65102-0570
Missouri Williamson Shelly Administrator Section for Long-Term Care Regulation Division of Regulation and Licensure Missouri Department of Health and Senior Services PO Box 570 Jefferson City, MO 65102-0570
Missouri Bollin Steve Primary Emergency Contact Director, Division of Regulation and Licensure Missouri Department of Health and Senior Services PO Box 570 Jefferson City, MO 65102-0570
DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES
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Missouri Koebel William Secondary/Alternate Emergency Contact Administrator Section for Health Standards and Licensure Missouri Department of Health and Senior Services PO Box 570 Jefferson City, MO 65102-0570
Montana Sanfilippo Tony Primary Emergency Contact Certification Bureau Life Safety Code, Emergency Preparedness & CLIA Supervisor Montana Department of Health & Human Services PO Box 202953 Helena, MT 59620-2953
Montana Boucher Todd Secondary/Alternate Emergency Contact Bureau Chief Montana Department of Health & Human Services PO Box 202953 Helena, MT 59620-2953
Nebraska Russ Wren Primary Emergency Contact Emergency Response Coordinator Division of Public Health Department of Health & Human Services PO Box 95026 Lincoln, NE 68509-5026
DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES
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Nebraska Eric Sergeant Secondary/Alternate Emergency Contact
Administrator Preparedness and Emergency Response Unit Division of Public Health Department of Health & Human Services PO Box 95026 Lincoln, NE 68509-5026
Nevada Shubert Paul Primary Emergency Contact Certification Coordinator Department of Health and Human Services Division of Public and Behavioral Health Bureau of Health Care Quality and Compliance 727 Fairview Drive, Suite E Carson City, NV 89701
Nevada Metherell Leticia Health Program Manager III Bureau of Health Care Quality and Compliance 4220 South Maryland Parkway, Suite 810 Las Vegas, NV 89119
Nevada Hesterlee Jeanne Secondary/Alternate Emergency Contact Bureau of Health Care Quality and Compliance 4220 South Maryland Parkway, Suite 810 Las Vegas, NV 89119
Shockely Doreen Bureau of Licensing & Certification (Manager) Health Facilities Administration New Hampshire Department of Health & Human Services 129 Pleasant Street-Brown Building Concord, NH 03001-3857
Lambrukos John Supervisor IV Health Facilities Administration New Hampshire Department of Health & Human Services 129 Pleasant Street-Brown Building Concord, NH 03301-3857
Holtz Kristine Bureau Chief Health Facilities Administration New Hampshire Department of Health & Human Services 129 Pleasant Street-Brown Building Concord, NH 03301-3857
New Jersey Rosenblum Gene Director Program Compliance Division of Health Facilities Certificate of Need and Licensing PO Box 358 Trenton, NJ 08625-0358
New Jersey King Lisa Regulatory Officer Program Compliance Division of Health Facilities Certificate of Need and Licensing PO Box 358 Trenton, NJ 08625-0358
New Jersey Snyder Andrew Secondary/Alternate Emergency Contact NJ Department of Health Office of Emergency Medical Services PO Box 360 Trenton, NJ 08625-0360
New Mexico VACANT VACANT Deputy Director Division of Health Improvement New Mexico Department of Health 2040 S. Pacheco 2nd Floor Santa Fe, NM 87505
N/A N/A N/A
New Mexico Sooh Maurella District Operations Bureau Chief District Operations Bureau Division of Health Improvement 2040 S Pacheco, 2nd Floor Santa Fe, NM 87505
New Mexico Rodriquez Rhonda Program Operations Bureau Chief Program Operations Bureau Division of Health Improvement New Mexico Department of Health 2040 S. Pacheco 2nd Floor Santa Fe, NM 87505
New Mexico Perez James Complaints Manager Program Operations Bureau Division of Health Improvement New Mexico Department of Health 2040 S. Pacheco 2nd Floor Santa Fe, NM 87505
New Mexico Madlener Jessica Health Services Manager (State Licensing) Program Operations Bureau Division of Health Improvement New Mexico Department of Health 2040 S. Pacheco 2nd Floor Santa Fe, NM 87505
New Mexico Rodriguez Jake Architect, Life Safety Code Manager Program Operations Bureau Division of Health Improvement New Mexico Department of Health 2040 S. Pacheco 2nd Floor Santa Fe, NM 87505
New Mexico Burmeister Christopher Primary Emergency Contact Division Director Division of Health Improvement New Mexico Department of Health 2040 S. Pacheco 2nd Floor Santa Fe, NM 87505
New Mexico Emory Chris Secondary/Alternate Emergency Contact Bureau Chief: DOH Health Emergency Management Bureau 1301 Siler Road, Bldg. F Santa Fe, NM 87505
New York Meany Jim State Training Coordinator Center for Health Care Provider Services & Oversight Office of Primary Care and Health Systems Management 875 Central Ave Albany, NY 12206
New York Hennessey Mark State Survey Agency Director/Center Director Center for Health Care Provider Services & Oversight Office of Primary Care and Health Systems Management 875 Central Avenue Albany, NY 12206
New York Deetz Valerie State Survey Agency Director/Deputy Center Director Center for Health Care Provider Services & Oversight Office of Primary Care and Health Systems Management 875 Central Avenue Albany, NY 12206
DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES
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New York Shulman Dr. Stephani Acting Director
Division of Hospitals and Diagnostic Treatment Center for Health Care Provider Services & Oversight Office of Primary Care and Health Systems Management 875 Central Avenue Albany, NY 12206
New York Persico Dorothy Acting Deputy Director Division of Hospitals and Diagnostic Treatment Center for Health Care Provider Services & Oversight Office of Primary Care and Health Systems Management 875 Central Avenue Albany, NY 12206
New York Persico Dorothy Acting Director Bureau of Quality and Surveillance Division of Hospitals and Diagnostic & Treatment 875 Central Avenue Albany, NY 12206
New York McGarvey Sheila Director Division of Nursing Homes and ICF/IID Center for Health Care Provider Services & Oversight Office of Primary Care and Health Systems Management 875 Central Avenue Albany, NY 12206
New York Rodat Carol Director Division of Home and Community Based Services Center for Health Care Provider Services & Oversight Office of Primary Care and Health Systems Management 875 Central Avenue Albany, NY 12206
New York Vogel Mary Jane Deputy Director Division of Nursing Homes and ICF/IID Center for Health Care Provider Services & Oversight Office of Primary Care and Health Systems Management 875 Central Avenue Albany, NY 12206
New York Willard Margaret Deputy Director Division of Home and Community Based Services Center for Health Care Provider Services & Oversight Office of Primary Care and Health Systems Management 875 Central Avenue Albany, NY 12206
New York Sottalano Debra Secondary/Alternate Emergency Contact Lead for Healthcare Preparedness and Response Office of Primary Care and Health Systems Management New York State Department of Health 875 Central Avenue Albany, NY 12206
North Gilliam Stephanie Section Chief 919-855-3796 Fax Number 919-715-8078
[email protected] Carolina Division of Health Service Regulation: Mental Health
Licensure & Certification Section North Carolina Department of Health & Human Services 2718 Mail Service Center Raleigh, NC 27699-2718
North Carolina
Wertz Becky Nursing Home Licensure and Certification Section Division of Health Service Regulation North Carolina Department of Health & Human Services 2711 Mail Service Center Raleigh, NC 27699-2711
Conley Azzie Section Chief Acute and Home Care Licensure & Certification Section Title 18 Programs and CLIA Division of Health Service Regulation 2712 Mail Service Center Raleigh, NC 27699-2712
Lewis Steven Division of Health Service Regulation North Carolina Department of Health & Human Services 2705 Mail Service Center Raleigh, NC 27699-2705
Strother Bob Division of Health Service Regulation North Carolina Department of Health & Human Services 2705 Mail Service Center Raleigh, NC 27699-2705
Deporter Cindy State Agency Director Division of Health Service Regulation North Carolina Department of Health & Human Services 1205 Umstead Drive Raleigh, NC 27699
DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES
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North
Carolina Ray William Program Manager, Healthcare Preparedness Program
Division of Health Service Regulation, Office of Emergency Medical Services North Carolina Department of Health & Human Services 1201 Umstead Drive, Wright Building 2707 Mail Service Center Raleigh, NC 27699-2707
Horton Rita Section Chief, Complaint Intake & Health Care Personnel Investigations Division of Health Service Regulation North Carolina Department of Health & Human Services 2711 Mail Service Center Raleigh, NC 27699-2711
Elliott Michiele Assistant Section Chief Division of Health Service Regulation: Mental Health Licensure & Certification Section North Carolina Department of Health & Human Services 2718 Mail Services Center Raleigh, NC 27699-2718
North Dakota Weidrich Timothy Chief, Health Resources and Response Health Facilities, Life Safety and Construction Divisions North Dakota Department of Health 600 East Blvd. – Department 301 Bismarck, ND 58505-0200
North Dakota Pritschet Bruce Health Resources Section Health Facilities Division Director North Dakota Department of Health 600 East Blvd. – Department 301 Bismarck, ND 58505-0200
North Dakota Weidner Bridget Health Resources Section Health Facilities Program Manager North Dakota Department of Health 600 East Blvd. – Department 301 Bismarck, ND 58505-0200
North Dakota Laxdal Kathy Health Resources Section Health Facilities Program Manager North Dakota Department of Health 600 East Blvd. – Department 301 Bismarck, ND 58505-0200
Ohio Holston Dave Survey and Certification Bureau Chief Office of Health Assurance and Licensing Ohio Department Of Health 246 N. High Street, 3rd Floor Columbus, OH 43215
Oregon Honey Jack Safety, Oversight & Quality Unit Administrator Oregon Department of Human Service 3406 Cherry Ave NE Salem, OR 97303 Mailing Address: PO Box 14530 Salem, OR 97309
Oregon Odell Sarah LTC SA Director Nursing Facility Program Manager Oregon Department of Human Services Safety, Oversight & Quality Unit 3406 Cherry Ave NE Salem, OR 97303 Mailing Address: PO Box 14530, Salem, OR 97309
Oregon Selover Dana NLTC SA Director Health Care Regulation and Quality Improvement Section Manager Oregon Health Authority Public Health Division 800 N.E. Oregon Street, Suite 465 Portland, OR 97232
Oregon Allm David Nursing Facility Licensing Unit Manager Safety, Oversight & Quality Unit Oregon Department of Human Services 3406 Cherry Ave NE Salem, OR 97303
Oregon Gilman Matt Facilities Planning, Safety, and Licensing Program Manager Health Care Regulation and Quality Improvement Oregon Health Authority Public Health Division 800 N.E. Oregon Street, Suite 465 Portland, OR 97232
Oregon Ramey Keith Nursing Facility Survey Manager Nursing Facility Survey Unit Safety, Oversight & Quality Unit Department of Human Services 3406 Cherry Ave, NE Salem, OR 97303
Oregon Oace Cory Nursing Facility Survey Manager Nursing Facility Survey Unit Safety, Oversight & Quality Unit Oregon Department of Human Services 3406 Cherry Ave, NE Salem, OR 97303
Oregon Vargo Cynthia Nursing Facility Survey Manager Nursing Facility Unit Safety, Oversight & Quality Unit Oregon Department of Human Services 3406 Cherry Ave, NE Salem, OR 97303
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Pennsylvania Chronister Ann Director Bureau of Facility, Licensure & Certification PA Department of Health Room 528 Health & Welfare Building 625 Forster Street Harrisburg, PA 17120
Pennsylvania Gladfelter Garrison Director Division of Acute & Ambulatory Care Room 532 Health & Welfare Building 625 Forster Street Harrisburg, PA 17120
Pennsylvania Williamson Susan Director Division of Nursing Care Facilities PA Department of Health Room 526 Health & Welfare Building 625 Forster Street Harrisburg, PA 17120
Pennsylvania Mincemover Scott Director Bureau of Community Programs Licensure & Certification PA Department of Health 132 Kline Plaza, Suite A Harrisburg, PA 17104
Pennsylvania Chamberlain Linda Director Division of Home Health PA Department of Health 555 Walnut Street, Forum Place, 7th Floor, Suite 701 Harrisburg, PA 17101
Pennsylvania Coble Susan Deputy Secretary - Quality Assurance Pennsylvania Department of Health 8th Floor West, Health & Welfare Building 625 Forster Street Harrisburg, PA 17120-0701
Pennsylvania Williamson Susan Director Division of Nursing Care Facilities PA Department of Health Room 526 Health & Welfare Building 625 Forster Street Harrisburg, PA 17120
Pennsylvania Mincemover Scott Director Bureau of Community Programs Licensure & Certification PA Department of Health 132 Kline Plaza, Suite A Harrisburg, PA 17104
Pennsylvania Chamberlain Linda Director Division of Home Health PA Department of Health 555 Walnut Street, Forum Place, 7th Floor, Suite 701 Harrisburg, PA 17101
Pennsylvania Coble Susan Deputy Secretary - Quality Assurance Pennsylvania Department of Health 8th Floor West, Health & Welfare Building 625 Forster Street Harrisburg, PA 17120-0701
Puerto Rico Cabrera Jessica Secondary/Alternate Emergency Contact Oficina de Preparación y Coordinación de Respuesta en Salud Publica Bo. Monacillos, Calle Casia #2 San Juan, PR 00921-3200
Rhode Island Curran Christine Health Facility Federal Certification Hospitals Rhode Island Department of Health 3 Capital Hill Providence, RI 02908-5097
Rhode Island Finocchiaro William Health Facility Federal Certification - Licensing Rhode Island Department of Health 3 Capitol Hill Providence, RI 02908-5097
Rhode Island Halpin Kelsey Health Facility Federal Certification – QI/Training Rhode Island Department of Health 3 Capitol Hill, Room 306 Providence, RI 02908-5097
Smith Angie Bureau Director, Bureau of Facilities Oversight State Survey Agency Director SC Department of Health & Environmental Control 2600 Bull Street Columbia, SC 29201-1708
Blair Jamie Director, Office of Public Health Preparedness South Carolina Department of Health and Environmental Control 2100 Bull Street Columbia, SC 29201
Harbison Dave Deputy Director, Office of Public Health Preparedness South Carolina Department of Health and Environmental Control 2100 Bull Street Columbia, SC 29201
Carlson Deb Deputy Administrator Office of Health Care Facilities Licensure & Certification South Dakota Department of Health 909 E St. Patrick St. Suite 9 Rapid City, SD 57701-1700
Brinkley Patricia Deputy Administrator Office of Health Care Facilities Licensure & Certification South Dakota Department of Health 2001 E 8th St. Sioux Falls, SD 57103
Texas McCay Beth Director of Health Facility Compliance Fax Number 512-834-6653
[email protected] Health Care Regulation – Regulatory Services Division Texas Health and Human Services Commission PO Box 13247 (MC 1979) Austin, Texas 78714-9030
737-218-6712
Texas Turner Rachel Deputy Associate Commissioner for Regional Operations Health Care Regulation – Regulatory Services Division Health & Human Services Commission Texas Health & Human Services PO Box 13247 (MC 1979) Austin, Texas 78714-9030
Texas Lothringer Linda Director, Survey Operations Regulatory Services TX Department of Aging & Disability Services 701 W 51st Street, Mail Code E-3535 PO Box 149030 Austin, TX 78714-9030
Texas Jordan Kristi Associate Commissioner for Health Care Regulation Regulatory Services Division Texas Health & Human Services Commission PO Box 13247 (MC 1979) Austin, Texas 78714-9030
Texas Blanch-Haley Renee Director, Survey Operations Long-Term Care Regulation Texas Health & Human Services Commission 701 W 51st Street, Mail Code: E-370 PO Box 149030 Austin, TX 78714-9030
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Texas Conces Diana Director, Policy and Rules Long-Term Care Regulation Texas Health & Human Services Commission 701 W 51st Street, Mail Code E-370 PO Box 149030 Austin, TX 78714-9030
Texas Allred Stephanie Director Licensing and Credentialing Long-Term Care Regulation Texas Health & Human Services Commission 701 W 51st Street, Mail Code E-370 PO Box 149030 Austin, TX 78714-9030
Texas Jakovich Derek Director, Enforcement Long-Term Care Regulation Texas Health & Human Services Commission 701 W 51st Street, Mail Code E-370 PO Box 149030 Austin, TX 78714-9030
Texas Lothringer Linda Deputy Associate Commissioner, Logistics Long-Term Care Regulation Texas Health and Human Services Commission 701 W 51st Street, Mail Code E-370 PO Box 149030 Austin, TX 78714-9030
Texas Gayle Michael Deputy Associate Commissioner, Program Operations Long-Term Care Regulation Texas Health and Human Services Commission 701 W 51st Street, Mail Code E-370 PO Box 149030 Austin, TX 78714-9030
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Texas Choban Diana Deputy Associate Commissioner, Regional Operations & Licensing and Credentialing Long-Term Care Regulation Texas Health and Human Services Commission 701 W 51st Street, Mail Code E-370 PO Box 149030 Austin, TX 78714-9030
Texas Dionne-Vahalik Michelle Associate Commissioner, Long-Term Care Regulation Texas Health and Human Services Commission 701 W 51st Street, Mail Code E-370 PO Box 149030 Austin, TX 78714-9030
Texas Whidden Kara Complaint and Incident Intake/Records Management Regulatory Services, Operational Support Texas Health and Human Services Commission PO Box 149030 MC E-249 Austin TX 78714-9030
Vermont Wehmeyer Tammy MDS/OASIS Automation Coordinator Division of Licensing and Protection Vermont Department of Disabilities, Aging and Independent Living - HC 2 South 280 State Drive Waterbury, VT 05671-2060
Vermont Cota Pamela Licensing Chief Division of Licensing and Protection Vermont Department of Disabilities, Aging and Independent Living - HC 2 South 280 State Drive Waterbury, VT 05671-2060
Virginia Beazley Kimberly Director Office of Licensure and Certification Virginia Department of Health - Perimeter Center 9960 Mayland Drive, Suite 401 Richmond, VA 23233
Virginia Yu Ka Ning Staff Training & Development Manager Virginia Department of Health - Perimeter Center 9960 Mayland Drive, Suite 401 Richmond, VA 23233
Virginia VACANT VACANT Division Director Division of Acute Care Virginia Department of Health - Perimeter Center 9960 Mayland Drive, Suite 401 Richmond, VA 23233
804-367-0000 Fax Number 804-527-4502
N/A
Virginia Allen Rebekah Senior Policy Analyst Virginia Department of Health - Perimeter Center 9960 Mayland Drive, Suite 401 Richmond, VA 23233
Washington VACANT VACANT Executive Director for Behavioral Health Inspections and Investigations Office of Health Systems Oversight WA Department of Health PO Box 47874 Olympia, WA 98504-7874
Washington Anbesse Mike Director, Residential Care Services Aging and Long-Term Support Administration Department of Social and Health Services PO Box 45600 Olympia WA 98504-5600
Washington Shannon David Primary Emergency Contact Emergency Management Services Department of Social & Health Services PO Box 45021 Olympia, WA 98504-5021
Washington Soldier Robert Secondary/Alternate Emergency Contact Emergency Management Services Department of Social & Health Services PO Box 45021 Olympia, WA 98504-5021
West Virginia Marra Jolynn Director Office of Health Facility Licensure and Certification, WV Department of Health & Human Resources 408 Leon Sullivan Way Charleston, WV 25301-1713
West Virginia Barnhouse Anita Deputy Director Office of Health Facility Licensure and Certification, WV Department of Health & Human Resources 408 Leon Sullivan Way Charleston, WV 25301-1713
West Virginia Rhodes Jerry Secondary/Alternate Emergency Contact Preparedness Director
304-558-6900 Contact via phone or email
Contact via phone
West Virginia Haynes Donnie Backup Secondary/Alternate Emergency Contact Preparedness
304-558-6900 Contact via phone or email
Contact via phone
Wisconsin Woods Otis Administrator Division of Quality Assurance Wisconsin Department of Health Services 1 W. Wilson Street PO Box 2969 Madison, WI 53701-2969
Wisconsin Andrews Nikki Director Bureau of Education Services & Technology Division of Quality Assurance 1 W. Wilson Street PO Box 2969 Madison, WI 53701-2969
Wisconsin Khondaker Fokruddin Director, Office of Plan Review and Inspection Division of Quality Assurance 1 W. Wilson Street PO Box 2969 Madison, WI 53701-2969
