Public record

CMS Hospice All Owners

Associate id: 4183901978 · 9 matching records

Enrollment id
O20180214001011
Associate id
4183901978
Organization name
COLUSA MEDICAL CENTER, LLC
Associate id - owner
1759385545
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-11-16
First name - owner
GURPREET
Middle name - owner
SINGH
Last name - owner
RANDHAWA
Title - owner
OWNER/CEO
Percentage ownership
100
Enrollment id
O20180214001011
Associate id
4183901978
Organization name
COLUSA MEDICAL CENTER, LLC
Associate id - owner
2163483579
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2017-04-25
First name - owner
JAGRAJ
Middle name - owner
S
Last name - owner
NIJJAR
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20180214001011
Associate id
4183901978
Organization name
COLUSA MEDICAL CENTER, LLC
Associate id - owner
2163483579
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-04-25
First name - owner
JAGRAJ
Middle name - owner
S
Last name - owner
NIJJAR
Title - owner
MEDICAL DIRECTOR
Percentage ownership
0
Enrollment id
O20180214001011
Associate id
4183901978
Organization name
COLUSA MEDICAL CENTER, LLC
Associate id - owner
4981963204
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-01-01
First name - owner
SHAMSHER
Last name - owner
BHULLAR
Title - owner
CEO
Percentage ownership
0
Enrollment id
O20180214001011
Associate id
4183901978
Organization name
COLUSA MEDICAL CENTER, LLC
Associate id - owner
4981963204
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-01-01
First name - owner
SHAMSHER
Last name - owner
BHULLAR
Title - owner
ADMINISTRATOR
Percentage ownership
0
Enrollment id
O20180214001011
Associate id
4183901978
Organization name
COLUSA MEDICAL CENTER, LLC
Associate id - owner
6305074949
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-05-01
First name - owner
TAMMY
Last name - owner
THOMPSON
Title - owner
EXECUTIVE VICE PRESIDENT/CFO
Percentage ownership
0
Enrollment id
O20180214001011
Associate id
4183901978
Organization name
COLUSA MEDICAL CENTER, LLC
Associate id - owner
6305074949
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-05-01
First name - owner
TAMMY
Last name - owner
THOMPSON
Title - owner
EXECUTIVE VICE PRESIDENT/CFO
Percentage ownership
0
Enrollment id
O20180214001011
Associate id
4183901978
Organization name
COLUSA MEDICAL CENTER, LLC
Associate id - owner
6305074949
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-05-01
First name - owner
TAMMY
Last name - owner
THOMPSON
Title - owner
EXECUTIVE VICE PRESIDENT/CFO
Percentage ownership
0
Enrollment id
O20180214001011
Associate id
4183901978
Organization name
COLUSA MEDICAL CENTER, LLC
Associate id - owner
6305074949
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-05-17
First name - owner
TAMMY
Last name - owner
THOMPSON
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
0

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