Public record

CMS Hospice All Owners

Associate id: 4486562394 · 34 matching records

Enrollment id
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
1254728306
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2004-08-26
Organization name - owner
CAPITAL CARING HEATLH INC
Doing business as name - owner
CAPITAL CARING HEALTH
Address line 1 - owner
3180 FAIRVIEW PARK DR
Address line 2 - owner
STE 500
City - owner
FALLS CHURCH
State - owner
VA
Zip code - owner
220424583
Percentage ownership
100
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
Y
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
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
1759418452
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
TARA
Last name - owner
FRIEDMAN
Title - owner
CHIEF MEDICAL OFFICER
Enrollment id
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
2264431097
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2010-01-01
First name - owner
MATTHEW
Middle name - owner
G
Last name - owner
KESTENBAUM
Title - owner
CHIEF MEDICAL OFFICER
Enrollment id
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
2264431097
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2010-01-01
First name - owner
MATTHEW
Middle name - owner
G
Last name - owner
KESTENBAUM
Title - owner
CHIEF MEDICAL OFFICER
Enrollment id
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
2567436199
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-05-01
Organization name - owner
CHAPTERS HEALTH SYSTEM INC
Doing business as name - owner
CHAPTERS HEALTH SYSTEM
Address line 1 - owner
12470 TELECOM DR
Address line 2 - owner
STE 301
City - owner
TEMPLE TERRACE
State - owner
FL
Zip code - owner
336370904
Percentage ownership
100
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
Y
Medical staffing company - owner
N
Holding company - owner
Y
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
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
2567444037
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
ANDREW
Middle name - owner
K
Last name - owner
MOLOSKY
Title - owner
PRESIDENT/CEO
Enrollment id
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
3577725167
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
TODD
Middle name - owner
A
Last name - owner
WEBB
Title - owner
CHIEFL FINANCIAL OFFICER
Enrollment id
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
3678865730
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
RHONDA
Middle name - owner
G
Last name - owner
WHITE
Title - owner
PRESIDENT HOSPICE/PACE
Enrollment id
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
3678977097
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
VALERIE
Last name - owner
ZOLMAN
Title - owner
CHIEF COMPLIANCE OFFICER
Enrollment id
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
4981142577
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-05-01
First name - owner
KIMBERLY
Last name - owner
GROVE
Title - owner
AD;
Enrollment id
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
5395164040
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
PAOLA
Last name - owner
DELP
Title - owner
CHIEF BUSINESS DEVELOPMENT OFFICER
Enrollment id
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
5890233480
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
JASON
Middle name - owner
M
Last name - owner
D'AURIA
Title - owner
CHIEF OPERATING OFFICER
Enrollment id
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
6103232251
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
SHERI
Last name - owner
STROBEL
Title - owner
CHIEF INFORMATION OFFICER
Enrollment id
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
8820483472
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
NICOLE
Last name - owner
ROMENCE
Title - owner
CHIEF PEOPLE OFFICER
Enrollment id
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
8921427675
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
CRYSTAL
Last name - owner
BUCCIARELLI
Title - owner
VICE PRESIDENT, LEGAL SERVICES
Enrollment id
O20030115000001
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
9931570223
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-10-01
First name - owner
COLLEEN
Middle name - owner
B
Last name - owner
OTOOLE
Title - owner
DIRECTOR, PRACTICE MANAGEMENT
Enrollment id
O20030115000002
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
2264431097
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-10-01
First name - owner
MATTHEW
Middle name - owner
G
Last name - owner
KESTENBAUM
Title - owner
CHIEF MEDICAL OFFICER
Enrollment id
O20030115000002
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
8921249061
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-08-01
First name - owner
JOHN
Middle name - owner
T
Last name - owner
KOUTSOUMPAS
Title - owner
CEO
Enrollment id
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
1254728306
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2004-08-26
Organization name - owner
CAPITAL CARING HEATLH INC
Doing business as name - owner
CAPITAL CARING HEALTH
Address line 1 - owner
12470 TELECOM DR
Address line 2 - owner
STE 301
City - owner
TEMPLE TERRACE
State - owner
FL
Zip code - owner
336370904
Percentage ownership
100
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
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
1759418452
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
TARA
Last name - owner
FRIEDMAN
Title - owner
CHIEF MEDICAL OFFICER
Enrollment id
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
2264431097
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-01
First name - owner
MATTHEW
Middle name - owner
G
Last name - owner
KESTENBAUM
Title - owner
CHIEF MEDICAL OFFICER
Enrollment id
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
2264431097
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-01-01
First name - owner
MATTHEW
Middle name - owner
G
Last name - owner
KESTENBAUM
Title - owner
CHIEF MEDICAL OFFICER
Enrollment id
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
2567436199
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-05-01
Organization name - owner
CHAPTERS HEALTH SYSTEM INC
Doing business as name - owner
CHAPTERS HEALTH SYSTEM
Address line 1 - owner
12470 TELECOM DR
Address line 2 - owner
STE 301
City - owner
TEMPLE TERRACE
State - owner
FL
Zip code - owner
336370904
Percentage ownership
100
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
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
2567444037
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
ANDREW
Middle name - owner
K
Last name - owner
MOLOSKY
Title - owner
PRESIDENT/ CEO
Enrollment id
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
3577725167
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
TODD
Middle name - owner
A
Last name - owner
WEBB
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
3678865730
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
RHONDA
Middle name - owner
G
Last name - owner
WHITE
Title - owner
PRESIDENT HOSPICE/ PACE
Enrollment id
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
3678977097
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
VALERIE
Last name - owner
ZOLMAN
Title - owner
CHIEF COMPLIANCE OFFICER
Enrollment id
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
4981142577
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-05-01
First name - owner
KIMBERLY
Last name - owner
GROVE
Title - owner
AD;
Enrollment id
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
5395164040
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
PAOLA
Last name - owner
DELP
Title - owner
CHIEF BUSINESS DEVELOPMENT OFFICER
Enrollment id
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
5890233480
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
JASON
Middle name - owner
M
Last name - owner
D'AURIA
Title - owner
CHIEF OPERATING OFFICER
Enrollment id
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
6103232251
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
SHERI
Last name - owner
STROBEL
Title - owner
CHIEF INFORMATION OFFICER
Enrollment id
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
8820483472
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
NICOLE
Last name - owner
ROMENCE
Title - owner
CHIEF PEOPLE OFFICER
Enrollment id
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
8921427675
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
CRYSTAL
Last name - owner
BUCCIARELLI
Title - owner
VICE PRESIDENT, LEGAL SERVICES
Enrollment id
O20030430000023
Associate id
4486562394
Organization name
CAPITAL HOSPICE
Associate id - owner
9931570223
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-09-12
First name - owner
COLLEEN
Middle name - owner
B
Last name - owner
OTOOLE
Title - owner
DIRECTOR, PRACTICE MANAGEMENT

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