Public record

CMS Hospice All Owners

Associate id: 5799180329 · 5 matching records

Enrollment id
O20210820000246
Associate id
5799180329
Organization name
CROWN HOSPICE INC
Associate id - owner
1951358514
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2023-02-01
First name - owner
HUNG MANH
Last name - owner
NGUYEN
Title - owner
MD;
Enrollment id
O20210820000246
Associate id
5799180329
Organization name
CROWN HOSPICE INC
Associate id - owner
2365815735
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-12-19
First name - owner
MARILYN
Middle name - owner
T
Last name - owner
MANGABAT
Title - owner
CEO/CFO/SECRETARY
Percentage ownership
100
Enrollment id
O20210820000246
Associate id
5799180329
Organization name
CROWN HOSPICE INC
Associate id - owner
2365815735
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-12-19
First name - owner
MARILYN
Middle name - owner
T
Last name - owner
MANGABAT
Title - owner
CEO/CFO/SECRETARY
Percentage ownership
100
Enrollment id
O20210820000246
Associate id
5799180329
Organization name
CROWN HOSPICE INC
Associate id - owner
2365815735
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-12-19
First name - owner
MARILYN
Middle name - owner
T
Last name - owner
MANGABAT
Title - owner
CEO/CFO/SECRETARY
Percentage ownership
100
Enrollment id
O20210820000246
Associate id
5799180329
Organization name
CROWN HOSPICE INC
Associate id - owner
2365815735
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-12-19
First name - owner
MARILYN
Middle name - owner
T
Last name - owner
MANGABAT
Title - owner
AD;
Percentage ownership
100

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