Public record

CMS Hospice All Owners

Associate id: 1759281843 · 12 matching records

Enrollment id
O20040113000609
Associate id
1759281843
Organization name
GOOD SHEPHERD HOSPICE
Associate id - owner
0143556639
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-01-01
First name - owner
STEPHEN
Last name - owner
PIETROWSKI
Title - owner
TRUSTEE
Enrollment id
O20040113000609
Associate id
1759281843
Organization name
GOOD SHEPHERD HOSPICE
Associate id - owner
2264723626
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-08-28
First name - owner
TAREK
Last name - owner
ZETOUNE
Title - owner
MD;
Percentage ownership
100
Enrollment id
O20040113000609
Associate id
1759281843
Organization name
GOOD SHEPHERD HOSPICE
Associate id - owner
2567737059
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-01-01
First name - owner
THOMAS
Middle name - owner
E
Last name - owner
CHRISTMAN
Title - owner
TRUSTEE
Enrollment id
O20040113000609
Associate id
1759281843
Organization name
GOOD SHEPHERD HOSPICE
Associate id - owner
4880920370
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-03-01
First name - owner
DANIELLE
Last name - owner
DESSER-STEIN
Enrollment id
O20040113000609
Associate id
1759281843
Organization name
GOOD SHEPHERD HOSPICE
Associate id - owner
4880920370
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2015-03-01
First name - owner
DANIELLE
Last name - owner
DESSER-STEIN
Enrollment id
O20040113000609
Associate id
1759281843
Organization name
GOOD SHEPHERD HOSPICE
Associate id - owner
6608102199
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-01-01
First name - owner
JOHN
Last name - owner
O'BRIEN
Title - owner
TRUSTEE
Enrollment id
O20040113000609
Associate id
1759281843
Organization name
GOOD SHEPHERD HOSPICE
Associate id - owner
6709013550
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-01-01
First name - owner
DOUGLAS
Last name - owner
CELIBERTI
Title - owner
TRUSTEE
Enrollment id
O20040113000609
Associate id
1759281843
Organization name
GOOD SHEPHERD HOSPICE
Associate id - owner
7113830076
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
1989-01-30
Organization name - owner
CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC
Doing business as name - owner
CATHOLIC HEALTH
Address line 1 - owner
992 N VILLAGE AVE
City - owner
ROCKVILLE CENTRE
State - owner
NY
Zip code - owner
115701002
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20040113000609
Associate id
1759281843
Organization name
GOOD SHEPHERD HOSPICE
Associate id - owner
7416283908
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-01-01
First name - owner
PETER
Last name - owner
DAGHER
Title - owner
TRUSTEE
Enrollment id
O20040113000609
Associate id
1759281843
Organization name
GOOD SHEPHERD HOSPICE
Associate id - owner
7618933482
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-01-01
First name - owner
MICHAEL
Middle name - owner
C
Last name - owner
LAMBERT
Title - owner
TRUSTEE
Enrollment id
O20040113000609
Associate id
1759281843
Organization name
GOOD SHEPHERD HOSPICE
Associate id - owner
8921915885
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-06-17
First name - owner
KIM
Middle name - owner
M
Last name - owner
KRANZ
Title - owner
PRESIDENT
Enrollment id
O20040113000609
Associate id
1759281843
Organization name
GOOD SHEPHERD HOSPICE
Associate id - owner
8921915885
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-06-17
First name - owner
KIM
Middle name - owner
M
Last name - owner
KRANZ
Title - owner
AD;PRESIDENT
Percentage ownership
100

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