Public record

CMS Hospice All Owners

Associate id: 6103299086 · 9 matching records

Enrollment id
O20230223000726
Associate id
6103299086
Organization name
ADIRA HOSPICE LLC
Associate id - owner
2365571353
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-08-17
First name - owner
ELSY J
Last name - owner
BENJAMIN
Title - owner
ALTN SUPERVISING NURSE
Enrollment id
O20230223000726
Associate id
6103299086
Organization name
ADIRA HOSPICE LLC
Associate id - owner
2961660030
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-05-11
First name - owner
MATHEW
Last name - owner
KORAH
Percentage ownership
25
Enrollment id
O20230223000726
Associate id
6103299086
Organization name
ADIRA HOSPICE LLC
Associate id - owner
2961660030
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-05-11
First name - owner
MATHEW
Last name - owner
KORAH
Title - owner
OWNER SECRETARY
Enrollment id
O20230223000726
Associate id
6103299086
Organization name
ADIRA HOSPICE LLC
Associate id - owner
2961660030
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-05-11
First name - owner
MATHEW
Last name - owner
KORAH
Title - owner
ALTN ADMIN
Enrollment id
O20230223000726
Associate id
6103299086
Organization name
ADIRA HOSPICE LLC
Associate id - owner
6305842550
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2024-04-24
First name - owner
MUZAKEER
Last name - owner
SHAIK
Title - owner
MD;
Enrollment id
O20230223000726
Associate id
6103299086
Organization name
ADIRA HOSPICE LLC
Associate id - owner
6901030253
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-05-11
First name - owner
SUMA
Middle name - owner
C
Last name - owner
JACOB
Percentage ownership
75
Enrollment id
O20230223000726
Associate id
6103299086
Organization name
ADIRA HOSPICE LLC
Associate id - owner
6901030253
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-05-11
First name - owner
SUMA
Middle name - owner
C
Last name - owner
JACOB
Title - owner
OWNER PRESIDENT
Enrollment id
O20230223000726
Associate id
6103299086
Organization name
ADIRA HOSPICE LLC
Associate id - owner
6901030253
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-05-11
First name - owner
SUMA
Middle name - owner
C
Last name - owner
JACOB
Title - owner
ADMIN
Enrollment id
O20230223000726
Associate id
6103299086
Organization name
ADIRA HOSPICE LLC
Associate id - owner
7517311715
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-09-15
First name - owner
SHAIROSE
Last name - owner
GILANI
Title - owner
SUPERVISING NURSE

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