KOSTELAC CHARITY LYNNE

Debarred entity

Born 17 Jun 1985 (41 years old),United States. Named in 4 sanctions listings.

Sanctions and listings4

Effective
19 Dec 2019
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
pa.gov
Effective
19 Dec 2019
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
omig.ny.gov
Listed
9 Jan 2020
Effective
19 Dec 2019
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
sam.gov
Effective
19 Dec 2019
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a4
Programme US-HHS-OIGoig.hhs.gov oig.hhs.gov

Positions held1

Period not retained
NURSE/NURSES AIDE (IND- LIC HC SERV PRO)

Identifiers3

Identifier	Number
ID number	00562119
ID number	RN562657
NPI number	1629475934

Other names1

Also known as1

Charity L Kostelac

Addresses3

(MO), (MO)
5801 SOUTHWEST AVE, APT 2N, SAINT LOUIS, MO 63139
SAINT LOUIS, MO 63139

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