Public record

CMS Hospice All Owners

Associate id: 5496044836 · 9 matching records

Enrollment id
O20160525000979
Associate id
5496044836
Organization name
ANGEL WINGS HEALTHCARE LLC
Associate id - owner
4082983614
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2017-02-01
First name - owner
LONNIE
Middle name - owner
L
Last name - owner
LEWIS
Title - owner
MEMBER/OWNER
Percentage ownership
25
Enrollment id
O20160525000979
Associate id
5496044836
Organization name
ANGEL WINGS HEALTHCARE LLC
Associate id - owner
4082983614
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-02-01
First name - owner
LONNIE
Middle name - owner
L
Last name - owner
LEWIS
Title - owner
DIRECTOR
Percentage ownership
25
Enrollment id
O20160525000979
Associate id
5496044836
Organization name
ANGEL WINGS HEALTHCARE LLC
Associate id - owner
4082983614
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-02-01
First name - owner
LONNIE
Middle name - owner
L
Last name - owner
LEWIS
Title - owner
ALTERNATE ADMINISTRATOR
Percentage ownership
25
Enrollment id
O20160525000979
Associate id
5496044836
Organization name
ANGEL WINGS HEALTHCARE LLC
Associate id - owner
8123180064
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2019-07-01
First name - owner
DEANDRE
Last name - owner
BROWN
Title - owner
MD;
Enrollment id
O20160525000979
Associate id
5496044836
Organization name
ANGEL WINGS HEALTHCARE LLC
Associate id - owner
8123180064
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-07-01
First name - owner
DEANDRE
Last name - owner
BROWN
Title - owner
MD;
Enrollment id
O20160525000979
Associate id
5496044836
Organization name
ANGEL WINGS HEALTHCARE LLC
Associate id - owner
8123180064
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2019-07-01
First name - owner
DEANDRE
Last name - owner
BROWN
Title - owner
HOSPICE MEDICAL DIRECTOR
Enrollment id
O20160525000979
Associate id
5496044836
Organization name
ANGEL WINGS HEALTHCARE LLC
Associate id - owner
8123317575
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-01-05
First name - owner
DOROTHEA
Middle name - owner
DIAN
Last name - owner
LEE
Title - owner
MEMBER/OWNER
Percentage ownership
75
Enrollment id
O20160525000979
Associate id
5496044836
Organization name
ANGEL WINGS HEALTHCARE LLC
Associate id - owner
8123317575
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-01-05
First name - owner
DOROTHEA
Middle name - owner
DIAN
Last name - owner
LEE
Title - owner
MEMBER/OWNER
Percentage ownership
75
Enrollment id
O20160525000979
Associate id
5496044836
Organization name
ANGEL WINGS HEALTHCARE LLC
Associate id - owner
8123317575
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-01-05
First name - owner
DOROTHEA
Middle name - owner
DIAN
Last name - owner
LEE
Title - owner
ADMINISTRATOR
Percentage ownership
75

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list