Public record

CMS Hospice All Owners

Associate id: 1052688868 · 25 matching records

Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
1254658743
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2017-04-01
Organization name - owner
CH SERVICES MIDCO HOLDINGS INC
Address line 1 - owner
655 BRAWLEY SCHOOL RD
Address line 2 - owner
STE 200
City - owner
MOORESVILLE
State - owner
NC
Zip code - owner
281179601
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
2062745532
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-11
Organization name - owner
KENTUCKY HOMECARE PARENT INC.
Address line 1 - owner
3350 RIVERWOOD PKWY SE
Address line 2 - owner
STE 1400
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303393314
Percentage ownership
40
Created for acquisition - owner
N
Corporation - owner
Y
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
2264322619
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-04-27
First name - owner
RONALD
Middle name - owner
C
Last name - owner
LAZAS
Title - owner
EVP AND GENERAL COUNSEL
Percentage ownership
0
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
2567645096
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-03-27
Organization name - owner
CURO HEALTH SERVICES HOLDINGS, INC
Address line 1 - owner
655 BRAWLEY SCHOOL RD
Address line 2 - owner
STE 200
City - owner
MOORESVILLE
State - owner
NC
Zip code - owner
281179601
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
2668863739
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-12-31
First name - owner
DAVID
Middle name - owner
ROBINSON
Last name - owner
ARNOLD
Title - owner
VP AND TREASURER
Percentage ownership
0
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
2769600576
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2017-04-01
Organization name - owner
CURO HOSPICE SC LLC
Address line 1 - owner
655 BRAWLEY SCHOOL RD
Address line 2 - owner
STE 200
City - owner
MOORESVILLE
State - owner
NC
Zip code - owner
281179601
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
3476632308
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-11-30
First name - owner
THOMAS
Middle name - owner
JOSEPH
Last name - owner
DOLAN
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
0
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
3577526409
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2024-10-24
First name - owner
VINCENT
Middle name - owner
K
Last name - owner
CHU
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
3870755416
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2017-04-01
Organization name - owner
KSOC HOLDINGS, INC
Address line 1 - owner
655 BRAWLEY SCHOOL RD
Address line 2 - owner
STE 200
City - owner
MOORESVILLE
State - owner
NC
Zip code - owner
281179601
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
3971412784
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2017-04-01
Organization name - owner
SOUTHERNCARE HOLDINGS, INC.
Address line 1 - owner
655 BRAWLEY SCHOOL RD
Address line 2 - owner
STE 200
City - owner
MOORESVILLE
State - owner
NC
Zip code - owner
281179601
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
4587031273
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-11
Organization name - owner
CHARLOTTE MIDCO, LLC
Doing business as name - owner
CHARLOTTE MIDCO, LLC
Address line 1 - owner
3350 RIVERWOOD PKWY SE
Address line 2 - owner
STE 1400
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303393314
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
4789932682
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-11
Organization name - owner
KENTUCKY HOMECARE HOLDINGS, INC.
Address line 1 - owner
3350 RIVERWOOD PKWY SE
Address line 2 - owner
STE 1400
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303393314
Percentage ownership
40
Created for acquisition - owner
N
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
5294249785
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-10-20
First name - owner
SARAH
Last name - owner
GULLEY
Title - owner
AD;
Percentage ownership
0
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
5294862660
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-11
Organization name - owner
HUMANA INC
Doing business as name - owner
HUMANA, INC.
Address line 1 - owner
500 W MAIN ST
City - owner
LOUISVILLE
State - owner
KY
Zip code - owner
402022946
Percentage ownership
40
Created for acquisition - owner
N
Corporation - owner
Y
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
5496122186
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-11
Organization name - owner
FALCON HOSPICE, LP
Doing business as name - owner
FALCON HOSPICE, LP
Address line 1 - owner
3350 RIVERWOOD PKWY SE
Address line 2 - owner
STE 1400
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303393314
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
Y
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
LP
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
5597082248
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-04-27
First name - owner
DAVID
Middle name - owner
ALLEN
Last name - owner
CAUSBY
Title - owner
CHIEF EXECUTIVE OFFICER
Percentage ownership
0
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
5799035572
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-07-11
Organization name - owner
CHARLOTTE BUYER, INC.
Address line 1 - owner
655 BRAWLEY SCHOOL RD
Address line 2 - owner
STE 200
City - owner
MOORESVILLE
State - owner
NC
Zip code - owner
281179601
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
5799968392
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2017-04-01
Organization name - owner
CURO HEALTH SERVICES LLC
Doing business as name - owner
HEARTLAND HOSPICE (ROANOKE)
Address line 1 - owner
655 BRAWLEY SCHOOL RD
Address line 2 - owner
STE 200
City - owner
MOORESVILLE
State - owner
NC
Zip code - owner
281179601
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
Y
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
6204185267
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-11-01
First name - owner
JANET
Middle name - owner
L
Last name - owner
COMBS
Title - owner
VP LICENSURE
Percentage ownership
0
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
6305213091
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-11
Organization name - owner
CD&R FALCON HOLDINGS, LP
Doing business as name - owner
CD&R FALCON HOLDINGS, LP
Address line 1 - owner
375 PARK AVE
City - owner
NEW YORK
State - owner
NY
Zip code - owner
101523804
Percentage ownership
60
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
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
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
LP
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
6901714534
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-11
Organization name - owner
CENTERWELL HEALTH SERVICES INC
Doing business as name - owner
GENTIVA HEALTH SERVICES, INC.
Address line 1 - owner
500 W MAIN ST
City - owner
LOUISVILLE
State - owner
KY
Zip code - owner
402022946
Percentage ownership
40
Created for acquisition - owner
N
Corporation - owner
Y
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
7012304116
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-03-01
Organization name - owner
KAH HOSPICE COMPANY, INC
Address line 1 - owner
3350 RIVERWOOD PKWY SE
Address line 2 - owner
STE 1400
City - owner
ATLANTA
State - owner
GA
Zip code - owner
303393314
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
8527977735
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2017-04-01
Organization name - owner
SOUTHERNCARE, INC.
Doing business as name - owner
HEARTLAND HOSPICE
Address line 1 - owner
655 BRAWLEY SCHOOL RD
Address line 2 - owner
STE 200
City - owner
MOORESVILLE
State - owner
NC
Zip code - owner
281179601
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
9335466820
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2017-04-01
Organization name - owner
CH SERVICES GROUP HOLDINGS INC
Address line 1 - owner
655 BRAWLEY SCHOOL RD
Address line 2 - owner
STE 200
City - owner
MOORESVILLE
State - owner
NC
Zip code - owner
281179601
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170526002057
Associate id
1052688868
Organization name
AVALON HOSPICE OHIO, LLC
Associate id - owner
9436476926
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2017-04-01
Organization name - owner
CH SERVICES HOLDINGS INC
Address line 1 - owner
655 BRAWLEY SCHOOL RD
Address line 2 - owner
STE 200
City - owner
MOORESVILLE
State - owner
NC
Zip code - owner
281179601
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y

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