Public record

CMS Hospice All Owners

Associate id: 3072815091 · 21 matching records

Enrollment id
O20160226001038
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
0648233395
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2023-06-28
First name - owner
FRANCIS
Middle name - owner
M
Last name - owner
TAYLOR
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20160226001038
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
0648594952
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-31
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
CEO/PRESIDENT/TREASURER
Percentage ownership
66.67
Enrollment id
O20160226001038
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
0648594952
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-12-01
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
CEO/PRESIDENT/TREASURER
Enrollment id
O20160226001038
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
0648594952
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-12-01
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
CEO/PRESIDENT/TREASURER
Enrollment id
O20160226001038
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
0648594952
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2015-12-01
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
AD;
Enrollment id
O20160226001038
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
1557685864
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-12-01
First name - owner
CHRISTINA
Middle name - owner
M
Last name - owner
JEFFCOAT
Title - owner
COO/EXECUTIVE VP/SECRETARY
Enrollment id
O20160226001038
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
1557685864
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-12-01
First name - owner
CHRISTINA
Middle name - owner
M
Last name - owner
JEFFCOAT
Title - owner
COO/EXECUTIVE VP/SECRETARY
Enrollment id
O20160226001038
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
4587189022
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-07
Organization name - owner
THE YOUNG FAMILY TRUST F/B/O PATRICK WAYNE JEFFCOAT, JR.
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
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
Enrollment id
O20160226001038
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
5193633519
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-12-01
Organization name - owner
MEDICAL SERVICES OF AMERICA INC
Doing business as name - owner
MEDI HOME CARE
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
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
O20160226001038
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
5193633519
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-12-01
Organization name - owner
MEDICAL SERVICES OF AMERICA INC
Doing business as name - owner
MEDI HOME CARE
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
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
O20160226001038
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
8426305913
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-06-09
First name - owner
CYNTHIA
Middle name - owner
YOUNG
Last name - owner
GOTHARD
Title - owner
ADMINISTRATOR
Enrollment id
O20170524002612
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
0648594952
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-12-15
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
CEO/ PRESIDENT/ TREASURER
Enrollment id
O20170524002612
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
0648594952
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-12-15
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
CEO/ PRESIDENT/ TREASURER
Enrollment id
O20170524002612
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
0648594952
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-12-15
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
CEO/ PRESIDENT/ TREASURER
Enrollment id
O20170524002612
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
1557685864
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-12-15
First name - owner
CHRISTINA
Middle name - owner
M
Last name - owner
JEFFCOAT
Title - owner
COO/ EXECUTIVE VP/ SECRETARY
Enrollment id
O20170524002612
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
1557685864
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-12-15
First name - owner
CHRISTINA
Middle name - owner
M
Last name - owner
JEFFCOAT
Title - owner
COO/ EXECUTIVE VP/ SECRETARY
Enrollment id
O20170524002612
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
4587189022
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-07
Organization name - owner
THE YOUNG FAMILY TRUST F/B/O PATRICK WAYNE JEFFCOAT, JR.
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
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
Enrollment id
O20170524002612
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
5193633519
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-12-15
Organization name - owner
MEDICAL SERVICES OF AMERICA INC
Doing business as name - owner
MEDI HOME CARE
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
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
O20170524002612
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
5193633519
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-12-15
Organization name - owner
MEDICAL SERVICES OF AMERICA INC
Doing business as name - owner
MEDI HOME CARE
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
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
O20170524002612
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
6103095120
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2023-08-16
First name - owner
CHARLENE
Last name - owner
LOCKLEAR
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20170524002612
Associate id
3072815091
Organization name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Associate id - owner
6204347073
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-12-14
First name - owner
EDNA
Last name - owner
BUTTON
Title - owner
AD;

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