Public record

CMS Hospice All Owners

Associate id: 0648220038 · 5 matching records

Enrollment id
O20050124000774
Associate id
0648220038
Organization name
GOOD SHEPHERD HOSPICE OF DALLAS, LLC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2005-09-30
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Title - owner
MANAGER, LLC/AUTHORIZED OFFICIAL
Enrollment id
O20050124000774
Associate id
0648220038
Organization name
GOOD SHEPHERD HOSPICE OF DALLAS, LLC
Associate id - owner
3678480233
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2004-08-27
First name - owner
SHELLIE
Middle name - owner
K
Last name - owner
GREINER
Title - owner
TRUSTEE
Percentage ownership
100
Enrollment id
O20050124000774
Associate id
0648220038
Organization name
GOOD SHEPHERD HOSPICE OF DALLAS, LLC
Associate id - owner
8224119144
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-04-01
First name - owner
JERIANNE
Last name - owner
RANIERI
Title - owner
AD;
Percentage ownership
100
Enrollment id
O20050124000774
Associate id
0648220038
Organization name
GOOD SHEPHERD HOSPICE OF DALLAS, LLC
Associate id - owner
8628007762
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2024-05-01
First name - owner
SYED
Middle name - owner
M A
Last name - owner
JAMAL
Title - owner
MD;
Percentage ownership
100
Enrollment id
O20050124000774
Associate id
0648220038
Organization name
GOOD SHEPHERD HOSPICE OF DALLAS, LLC
Associate id - owner
9133135494
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2004-08-27
Organization name - owner
SHELLIE K GREINER REVOCABLE TRUST
Address line 1 - owner
709 FOX TAIL DR
City - owner
EDMOND
State - owner
OK
Zip code - owner
730347343
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
TRUST

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