Public record

CMS Hospice All Owners

Associate id: 1153332879 · 19 matching records

Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
0345607131
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-03-23
First name - owner
JENNIFER
Last name - owner
BOWMAN
Title - owner
BOARD MEMBER
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
2062745532
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-07-02
Organization name - owner
KENTUCKY HOMECARE PARENT INC.
Address line 1 - owner
500 W MAIN ST
City - owner
LOUISVILLE
State - owner
KY
Zip code - owner
40202
Percentage ownership
100
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
2365405172
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-09-12
First name - owner
CATHY
Middle name - owner
S
Last name - owner
BLANCHARD
Title - owner
VICE- CHAIRMAN
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
2668863739
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-12-04
First name - owner
DAVID
Middle name - owner
ROBINSON
Last name - owner
ARNOLD
Title - owner
CHO ADMIN
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
2860404456
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2000-03-15
Organization name - owner
WIREGRASS HOSPICE CARE 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
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
3274445192
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2000-03-15
Organization name - owner
HEALTHFIELD OPERATING GROUP, 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
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
4789932682
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-07-08
Organization name - owner
KENTUCKY HOMECARE HOLDINGS, INC.
Address line 1 - owner
301 COMMERCE ST
Address line 2 - owner
STE 300
City - owner
FORT WORTH
State - owner
TX
Zip code - owner
761024140
Percentage ownership
100
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
4981611894
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-03-07
First name - owner
PATIENCE
Middle name - owner
P
Last name - owner
MCGEE
Title - owner
ASSISTANT SECRETARY
Percentage ownership
0
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
5092623629
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2000-03-15
Organization name - owner
CENTERWELL HEALTH SERVICES HOLDING CORP
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
Y
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
N
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
5294862660
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-07-02
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
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
5799949509
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-06-13
First name - owner
ANGELA
Last name - owner
EIDT
Title - owner
VICE PRESIDENT
Percentage ownership
0
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
5799949509
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-06-13
First name - owner
ANGELA
Last name - owner
EIDT
Title - owner
ADMINISTRATOR/DOO
Percentage ownership
0
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
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
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
6901714534
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2016-02-01
Organization name - owner
CENTERWELL HEALTH SERVICES INC
Doing business as name - owner
GENTIVA HEALTH SERVICES, 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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
7315849783
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2006-05-11
First name - owner
WILLIAM
Middle name - owner
H
Last name - owner
LONG
Title - owner
CHAIRMAN
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
7315849783
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2006-05-11
First name - owner
WILLIAM
Middle name - owner
H
Last name - owner
LONG
Title - owner
CHAIRMAN, BOARD OF DIRECTORS
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
7719899632
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2000-03-15
Organization name - owner
HEALTHFIELD, 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
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
8123455219
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-09-12
First name - owner
KIRK
Last name - owner
THEVIS
Title - owner
TREASURER
Enrollment id
O20060509000992
Associate id
1153332879
Organization name
HOSPICE OF THE EMERALD COAST, INC.
Associate id - owner
9931019577
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2000-03-15
Organization name - owner
WIREGRASS HOSPICE, LLC
Doing business as name - owner
GENTIVA
Address line 1 - owner
680 S 4TH ST
City - owner
LOUISVILLE
State - owner
KY
Zip code - owner
402022407
Percentage ownership
100
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
N

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