Public record

CMS Hospice All Owners

Associate id: 4880842335 · 6 matching records

Enrollment id
O20120907000410
Associate id
4880842335
Organization name
COVENANT GRACE HOSPICE, INC.
Associate id - owner
3870717796
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-12-15
First name - owner
NIDHU
Last name - owner
NARAYAN KURUP
Title - owner
OWNER
Percentage ownership
100
Enrollment id
O20120907000410
Associate id
4880842335
Organization name
COVENANT GRACE HOSPICE, INC.
Associate id - owner
3870717796
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-12-08
First name - owner
NIDHU
Last name - owner
NARAYAN KURUP
Title - owner
PRESIDENT
Percentage ownership
100
Enrollment id
O20120907000410
Associate id
4880842335
Organization name
COVENANT GRACE HOSPICE, INC.
Associate id - owner
3870717796
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-12-15
First name - owner
NIDHU
Last name - owner
NARAYAN KURUP
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20120907000410
Associate id
4880842335
Organization name
COVENANT GRACE HOSPICE, INC.
Associate id - owner
3870717796
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-12-15
First name - owner
NIDHU
Last name - owner
NARAYAN KURUP
Title - owner
DIRECTOR OF NURSING
Percentage ownership
100
Enrollment id
O20120907000410
Associate id
4880842335
Organization name
COVENANT GRACE HOSPICE, INC.
Associate id - owner
4284683962
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-06-10
First name - owner
JOEL
Last name - owner
ADA
Title - owner
AD;
Enrollment id
O20120907000410
Associate id
4880842335
Organization name
COVENANT GRACE HOSPICE, INC.
Associate id - owner
7618069667
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-05-31
First name - owner
VIJAY
Last name - owner
KORIMILLI
Title - owner
MD;
Percentage ownership
100

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