Public record

CMS Hospice All Owners

Associate id: 4284644543 · 15 matching records

Enrollment id
O20060501000662
Associate id
4284644543
Organization name
HALIFAX HOSPICE INC
Associate id - owner
0648423228
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-09-10
First name - owner
HAROLD
Last name - owner
GOODEMONTE
Title - owner
SECRETARY
Enrollment id
O20060501000662
Associate id
4284644543
Organization name
HALIFAX HOSPICE INC
Associate id - owner
2466438742
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-12-23
First name - owner
GLENN
Last name - owner
RITCHEY
Title - owner
VICE CHAIRMAN
Enrollment id
O20060501000662
Associate id
4284644543
Organization name
HALIFAX HOSPICE INC
Associate id - owner
2769977628
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-12-17
First name - owner
REBECCA
Last name - owner
GATIAN
Title - owner
AD;
Enrollment id
O20060501000662
Associate id
4284644543
Organization name
HALIFAX HOSPICE INC
Associate id - owner
4284537002
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-05-10
First name - owner
JEFFREY
Last name - owner
FEASEL
Title - owner
CEO
Percentage ownership
0
Enrollment id
O20060501000662
Associate id
4284644543
Organization name
HALIFAX HOSPICE INC
Associate id - owner
4284537002
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-05-10
First name - owner
JEFFREY
Last name - owner
FEASEL
Title - owner
CEO
Percentage ownership
0
Enrollment id
O20060501000662
Associate id
4284644543
Organization name
HALIFAX HOSPICE INC
Associate id - owner
4284537002
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2013-05-10
First name - owner
JEFFREY
Last name - owner
FEASEL
Title - owner
CEO
Percentage ownership
0
Enrollment id
O20060501000662
Associate id
4284644543
Organization name
HALIFAX HOSPICE INC
Associate id - owner
4284537002
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-05-10
First name - owner
JEFFREY
Last name - owner
FEASEL
Title - owner
CEO
Percentage ownership
0
Enrollment id
O20060501000662
Associate id
4284644543
Organization name
HALIFAX HOSPICE INC
Associate id - owner
6901124262
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-09-10
First name - owner
TOM
Last name - owner
MCCALL
Title - owner
TREASURER
Enrollment id
O20060501000662
Associate id
4284644543
Organization name
HALIFAX HOSPICE INC
Associate id - owner
7214012012
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-03-31
First name - owner
MARY
Middle name - owner
L
Last name - owner
FISHER
Title - owner
MD;
Enrollment id
O20060501000662
Associate id
4284644543
Organization name
HALIFAX HOSPICE INC
Associate id - owner
8325417959
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-12-23
First name - owner
ALAN
Last name - owner
FLOREZ
Title - owner
ASSISTANT TREASURE
Enrollment id
O20060501000662
Associate id
4284644543
Organization name
HALIFAX HOSPICE INC
Associate id - owner
8628054996
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1987-09-21
Organization name - owner
HALIFAX HOSPITAL MEDICAL CENTER
Doing business as name - owner
HALIFAX HEALTH MEDICAL CENTER
Address line 1 - owner
303 N CLYDE MORRIS BLVD
City - owner
DAYTONA BEACH
State - owner
FL
Zip code - owner
321142709
Percentage ownership
5
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20060501000662
Associate id
4284644543
Organization name
HALIFAX HOSPICE INC
Associate id - owner
8628054996
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
1979-01-01
Organization name - owner
HALIFAX HOSPITAL MEDICAL CENTER
Doing business as name - owner
HALIFAX HEALTH MEDICAL CENTER
Address line 1 - owner
303 N CLYDE MORRIS BLVD
City - owner
DAYTONA BEACH
State - owner
FL
Zip code - owner
321142709
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20060501000662
Associate id
4284644543
Organization name
HALIFAX HOSPICE INC
Associate id - owner
9234215088
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-12-23
First name - owner
MICHAEL
Last name - owner
MUNIER
Title - owner
QUALITY OVERSIGHT
Enrollment id
O20060501000662
Associate id
4284644543
Organization name
HALIFAX HOSPICE INC
Associate id - owner
9234508862
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-09-02
First name - owner
AUDREY
Last name - owner
BUTLER
Title - owner
MEMBER
Enrollment id
O20060501000662
Associate id
4284644543
Organization name
HALIFAX HOSPICE INC
Associate id - owner
9931542511
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-12-18
First name - owner
SHAWN
Last name - owner
REMINGTON
Title - owner
CFO

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