Public record

CMS Hospice All Owners

Associate id: 3678736576 · 25 matching records

Enrollment id
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
0244147833
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2023-01-01
Organization name - owner
BANK OF AMERICA, N.A.
Doing business as name - owner
BOA
Address line 1 - owner
401 NORTH TRYON STREET, NC1-021-06-01
City - owner
CHARLOTTE
State - owner
NC
Zip code - owner
282554000
Percentage ownership
9.2
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
Y
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
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
0547517088
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-04
Organization name - owner
CITIZENS BANK NA
Address line 1 - owner
600 WASHINGTON BLVD
Address line 2 - owner
MAIL STOP: CS117E
City - owner
STAMFORD
State - owner
CT
Zip code - owner
069013726
Percentage ownership
5.4
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
Y
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
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
1456375948
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-12-04
First name - owner
BRIAN
Middle name - owner
T
Last name - owner
MONAHAN
Title - owner
VP OF TAX
Enrollment id
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
1850209073
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-04
Organization name - owner
BLACK ROCK INSTITUTIONAL TRUST COMPANY NA
Doing business as name - owner
BLACKROCK FUND ADVISORS
Address line 1 - owner
400 HOWARD ST
City - owner
SAN FRANCISCO
State - owner
CA
Zip code - owner
941059876
Percentage ownership
16
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
Y
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
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
3779742135
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2020-12-04
Organization name - owner
THE HUNTINGTON NATIONAL BANK
Address line 1 - owner
41 SOUTH HIGH STREET, HC0910
City - owner
COLUMBUS
State - owner
OH
Zip code - owner
432156170
Percentage ownership
5.4
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
Y
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
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
4284807678
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-04
Organization name - owner
VANGUARD GROUP INC
Doing business as name - owner
THE VANGUARD GROUP
Address line 1 - owner
100 VANGUARD BLVD
City - owner
MALVERN
State - owner
PA
Zip code - owner
193552331
Percentage ownership
6.8
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
Y
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
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
5092754747
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-04
Organization name - owner
WELLS FARGO BANK, N.A.
Doing business as name - owner
WELLS FARGO BANK CMS
Address line 1 - owner
90 S 7TH ST
Address line 2 - owner
#N9305164
City - owner
MINNEAPOLIS
State - owner
MN
Zip code - owner
554027506
Percentage ownership
9.2
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
Y
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
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
5193716074
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-12-04
First name - owner
WILLIAM
Middle name - owner
BRADLEY
Last name - owner
BICKHAM
Title - owner
ADVISOR TO THE CEO
Enrollment id
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
5294995874
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2025-01-01
Organization name - owner
SYNOVOUS BANK, NATIONAL ASSOCIATION
Address line 1 - owner
1111 BAY AVE
Address line 2 - owner
STE 200
City - owner
COLUMBUS
State - owner
GA
Zip code - owner
319015265
Percentage ownership
5.4
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
Y
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
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
5799692356
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-12-04
First name - owner
RODNEY
Middle name - owner
DIRK
Last name - owner
ALLISON
Title - owner
CEO & CHAIRMAN OF THE BOARD
Enrollment id
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
6002813060
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-04
Organization name - owner
ADDUS HOMECARE CORPORATION
Address line 1 - owner
2300 WARRENVILLE RD
Address line 2 - owner
STE 100
City - owner
DOWNERS GROVE
State - owner
IL
Zip code - owner
605151717
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
Enrollment id
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
6800050014
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-04
Organization name - owner
CAPITAL ONE NA
Address line 1 - owner
2 BETHESDA METRO CTR
Address line 2 - owner
FL 10
City - owner
BETHESDA
State - owner
MD
Zip code - owner
208146319
Percentage ownership
11.6
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
Y
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
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
6800069139
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2025-01-01
Organization name - owner
REGIONS BANK
Address line 1 - owner
1900 5TH AVE N
City - owner
BIRMINGHAM
State - owner
AL
Zip code - owner
352032610
Percentage ownership
5.4
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
Y
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
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
7012178767
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-04-15
First name - owner
TRAVIS
Last name - owner
BLASER
Title - owner
DIVISION PRESIDENT
Percentage ownership
0
Enrollment id
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
7315162401
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2025-01-01
Organization name - owner
ROYAL BANK OF CANADA
Address line 1 - owner
30 HUDSON ST
City - owner
JERSEY CITY
State - owner
NJ
Zip code - owner
073024804
Percentage ownership
5.4
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
Y
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
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
7517132335
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-04
Organization name - owner
FIFTH THIRD BANK, NATIONAL ASSOCIATION
Address line 1 - owner
222 S RIVERSIDE PLZ
Address line 2 - owner
MAIL DROP: GRVR32B
City - owner
CHICAGO
State - owner
IL
Zip code - owner
606065808
Percentage ownership
9.2
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
Y
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
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
7618339920
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-09-15
First name - owner
HEATHER
Middle name - owner
B
Last name - owner
DIXON
Title - owner
PRESIDENT & COO
Percentage ownership
0
Enrollment id
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
7618339920
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-09-15
First name - owner
HEATHER
Middle name - owner
B
Last name - owner
DIXON
Title - owner
PRESIDENT & COO
Percentage ownership
0
Enrollment id
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
7618339920
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-09-15
First name - owner
HEATHER
Middle name - owner
B
Last name - owner
DIXON
Title - owner
PRESIDENT/ COO
Percentage ownership
0
Enrollment id
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
7719897081
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-04
Organization name - owner
ADDUS HEALTHCARE INC
Doing business as name - owner
ADDUS HOMECARE
Address line 1 - owner
2300 WARRENVILLE RD
Address line 2 - owner
STE 100
City - owner
DOWNERS GROVE
State - owner
IL
Zip code - owner
605151717
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
Enrollment id
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
8123243870
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-12-04
First name - owner
BRIAN
Middle name - owner
W
Last name - owner
POFF
Title - owner
CFO/SECRETARY
Enrollment id
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
8123426418
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-03-01
First name - owner
JENNIFER
Last name - owner
COTTERELL
Title - owner
EXECUTIVE DIRECTOR
Percentage ownership
100
Enrollment id
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
8325146129
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2023-01-01
Organization name - owner
PNC BANK
Address line 1 - owner
249 FIFTH AVENUE, ONE PNC PLAZA
City - owner
PITTSBURGH
State - owner
PA
Zip code - owner
152222707
Percentage ownership
9.2
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
Y
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
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
9133208028
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2025-01-01
Organization name - owner
US BANK, N.A.
Address line 1 - owner
800 NICOLLET MALL
City - owner
MINNEAPOLIS
State - owner
MN
Zip code - owner
554027000
Percentage ownership
5.4
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
Y
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
O20120511000248
Associate id
3678736576
Organization name
QUEEN CITY HOSPICE, LLC
Associate id - owner
9234306887
Type - owner
O
Role code - owner
36
Role text - owner
5% OR GREATER MORTGAGE INTEREST
Association date - owner
2025-01-01
Organization name - owner
BMO BANK, N.A.
Address line 1 - owner
320 S CANAL ST
City - owner
CHICAGO
State - owner
IL
Zip code - owner
606065707
Percentage ownership
9.2
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
Y
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

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