Public record

CMS Hospice All Owners

Associate id: 5698720720 · 11 matching records

Enrollment id
O20050322000262
Associate id
5698720720
Organization name
PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC
Associate id - owner
0648368621
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-11-07
First name - owner
MICHAEL
Last name - owner
SPEZIA
Title - owner
MD;
Enrollment id
O20050322000262
Associate id
5698720720
Organization name
PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC
Associate id - owner
1850748963
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-10-24
First name - owner
ELISHA
Last name - owner
NOLAN
Enrollment id
O20050322000262
Associate id
5698720720
Organization name
PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC
Associate id - owner
1850825290
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-10-01
First name - owner
JEFFERY
Last name - owner
HAMPTON
Title - owner
AD;
Enrollment id
O20050322000262
Associate id
5698720720
Organization name
PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC
Associate id - owner
3779021670
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-06-06
First name - owner
LAUREN
Last name - owner
LYNCH
Title - owner
DIRECTOR OF CLINICAL SERVICES
Enrollment id
O20050322000262
Associate id
5698720720
Organization name
PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC
Associate id - owner
4183005895
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-01-11
First name - owner
SEAN
Last name - owner
COPELAND
Title - owner
DIRECTOR OF OPERATIONS
Enrollment id
O20050322000262
Associate id
5698720720
Organization name
PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC
Associate id - owner
5496665291
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-02-01
First name - owner
DONALD
Middle name - owner
R
Last name - owner
CHADWELL
Percentage ownership
22.5
Enrollment id
O20050322000262
Associate id
5698720720
Organization name
PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC
Associate id - owner
7315856572
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-02-01
First name - owner
JAMES
Middle name - owner
C
Last name - owner
LINCOLN
Percentage ownership
37.5
Enrollment id
O20050322000262
Associate id
5698720720
Organization name
PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC
Associate id - owner
7315856572
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2008-02-01
First name - owner
JAMES
Middle name - owner
C
Last name - owner
LINCOLN
Title - owner
MANAGING MEMBER OF LLC
Enrollment id
O20050322000262
Associate id
5698720720
Organization name
PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC
Associate id - owner
8921295049
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2008-02-01
Organization name - owner
JCJL HOLDINGS LLC
Address line 1 - owner
3750 OSAGE BEACH PKWY 200
City - owner
OSAGE BEACH
State - owner
MO
Zip code - owner
650652179
Percentage ownership
75
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
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
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20050322000262
Associate id
5698720720
Organization name
PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC
Associate id - owner
9133109689
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2008-02-01
Organization name - owner
HORIZON CAPITAL LLC
Address line 1 - owner
13204N MACARTHUR BLVD
City - owner
OKLAHOMA CITY
State - owner
OK
Zip code - owner
731423019
Percentage ownership
25
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
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
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20050322000262
Associate id
5698720720
Organization name
PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC
Associate id - owner
9537141445
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-02-01
First name - owner
JUDY
Middle name - owner
L
Last name - owner
LINCOLN
Percentage ownership
37.5

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