Public record

CMS Hospice All Owners

Associate id: 2062790835 · 9 matching records

Enrollment id
O20161028001665
Associate id
2062790835
Organization name
CARTER HEALTHCARE HOSPICE OF NORTH OKLAHOMA, LLC
Associate id - owner
1850201039
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-11-01
Organization name - owner
CARTER HEALTHCARE OF SOUTHWEST OKLAHOMA, LLC
Doing business as name - owner
CARTER HEALTHCARE, LLC
Address line 1 - owner
3105 S MERIDIAN AVE
City - owner
OKLAHOMA CITY
State - owner
OK
Zip code - owner
731191022
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
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20161028001665
Associate id
2062790835
Organization name
CARTER HEALTHCARE HOSPICE OF NORTH OKLAHOMA, LLC
Associate id - owner
2567441108
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-03-01
First name - owner
ROBERT
Middle name - owner
L
Last name - owner
PETERS
Title - owner
DIRECTOR OF BILLING
Percentage ownership
33
Enrollment id
O20161028001665
Associate id
2062790835
Organization name
CARTER HEALTHCARE HOSPICE OF NORTH OKLAHOMA, LLC
Associate id - owner
4486688785
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-01-01
First name - owner
MARTIN
Middle name - owner
H
Last name - owner
GROTHEER
Title - owner
MD;
Percentage ownership
100
Enrollment id
O20161028001665
Associate id
2062790835
Organization name
CARTER HEALTHCARE HOSPICE OF NORTH OKLAHOMA, LLC
Associate id - owner
5092027540
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-09-27
First name - owner
JUSTIN
Last name - owner
CARTER
Percentage ownership
90.29
Enrollment id
O20161028001665
Associate id
2062790835
Organization name
CARTER HEALTHCARE HOSPICE OF NORTH OKLAHOMA, LLC
Associate id - owner
5092027540
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-09-27
First name - owner
JUSTIN
Last name - owner
CARTER
Title - owner
PRESIDENT
Percentage ownership
100
Enrollment id
O20161028001665
Associate id
2062790835
Organization name
CARTER HEALTHCARE HOSPICE OF NORTH OKLAHOMA, LLC
Associate id - owner
5092027540
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-09-27
First name - owner
JUSTIN
Last name - owner
CARTER
Title - owner
PRESIDENT
Percentage ownership
100
Enrollment id
O20161028001665
Associate id
2062790835
Organization name
CARTER HEALTHCARE HOSPICE OF NORTH OKLAHOMA, LLC
Associate id - owner
5092027540
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-09-27
First name - owner
JUSTIN
Last name - owner
CARTER
Title - owner
PRESIDENT
Percentage ownership
100
Enrollment id
O20161028001665
Associate id
2062790835
Organization name
CARTER HEALTHCARE HOSPICE OF NORTH OKLAHOMA, LLC
Associate id - owner
5193197952
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-09-27
First name - owner
CYNTHIA
Last name - owner
CARTER
Enrollment id
O20161028001665
Associate id
2062790835
Organization name
CARTER HEALTHCARE HOSPICE OF NORTH OKLAHOMA, LLC
Associate id - owner
8325958887
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2009-03-09
First name - owner
LISA
Last name - owner
CORNISH
Title - owner
AD;
Percentage ownership
100

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