Public record

CMS Hospice All Owners

Associate id: 0446587612 · 10 matching records

Enrollment id
O20190809002513
Associate id
0446587612
Organization name
EPIC HOSPICE CARE LLC #2
Associate id - owner
0840373239
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-04-12
First name - owner
GEORGE
Middle name - owner
KIMBELL
Last name - owner
WILCOX
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20190809002513
Associate id
0446587612
Organization name
EPIC HOSPICE CARE LLC #2
Associate id - owner
1850562216
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-08-29
First name - owner
LISA
Last name - owner
ACOSTA-PETERS
Title - owner
OWNER/ ADMINISTRATOR
Percentage ownership
49
Enrollment id
O20190809002513
Associate id
0446587612
Organization name
EPIC HOSPICE CARE LLC #2
Associate id - owner
1850562216
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-08-29
First name - owner
LISA
Last name - owner
ACOSTA-PETERS
Title - owner
OWNER/ADMINISTRATOR
Percentage ownership
49
Enrollment id
O20190809002513
Associate id
0446587612
Organization name
EPIC HOSPICE CARE LLC #2
Associate id - owner
1850562216
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-08-29
First name - owner
LISA
Last name - owner
ACOSTA-PETERS
Title - owner
OWNER/ ADMINISTRATOR
Percentage ownership
49
Enrollment id
O20190809002513
Associate id
0446587612
Organization name
EPIC HOSPICE CARE LLC #2
Associate id - owner
1850562216
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-08-29
First name - owner
LISA
Last name - owner
ACOSTA-PETERS
Title - owner
AD;
Percentage ownership
49
Enrollment id
O20190809002513
Associate id
0446587612
Organization name
EPIC HOSPICE CARE LLC #2
Associate id - owner
2668791443
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-08-28
First name - owner
ERIC
Last name - owner
PETERSEN
Title - owner
OWNER/CFO
Percentage ownership
51
Enrollment id
O20190809002513
Associate id
0446587612
Organization name
EPIC HOSPICE CARE LLC #2
Associate id - owner
2668791443
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-08-28
First name - owner
ERIC
Last name - owner
PETERSEN
Title - owner
OWNER
Percentage ownership
51
Enrollment id
O20190809002513
Associate id
0446587612
Organization name
EPIC HOSPICE CARE LLC #2
Associate id - owner
2668791443
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-08-28
First name - owner
ERIC
Last name - owner
PETERSEN
Title - owner
OWNER
Percentage ownership
51
Enrollment id
O20190809002513
Associate id
0446587612
Organization name
EPIC HOSPICE CARE LLC #2
Associate id - owner
2668791443
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-08-28
First name - owner
ERIC
Last name - owner
PETERSEN
Title - owner
OWNER
Percentage ownership
51
Enrollment id
O20190809002513
Associate id
0446587612
Organization name
EPIC HOSPICE CARE LLC #2
Associate id - owner
2668791443
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-08-28
First name - owner
ERIC
Last name - owner
PETERSEN
Title - owner
OWNER
Percentage ownership
51

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list