Public record

CMS Hospice All Owners

Associate id: 6204966542 · 7 matching records

Enrollment id
O20100611000589
Associate id
6204966542
Organization name
ABUNDANT HOSPICE SERVICES, LLC
Associate id - owner
0345398905
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-06-24
First name - owner
RUTH
Last name - owner
GARCIA
Percentage ownership
50
Enrollment id
O20100611000589
Associate id
6204966542
Organization name
ABUNDANT HOSPICE SERVICES, LLC
Associate id - owner
0345398905
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-06-24
First name - owner
RUTH
Last name - owner
GARCIA
Title - owner
LLC MEMBER
Enrollment id
O20100611000589
Associate id
6204966542
Organization name
ABUNDANT HOSPICE SERVICES, LLC
Associate id - owner
8628007762
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-01-26
First name - owner
SYED
Middle name - owner
M A
Last name - owner
JAMAL
Title - owner
MEDICAL DIRECTOR
Percentage ownership
0
Enrollment id
O20100611000589
Associate id
6204966542
Organization name
ABUNDANT HOSPICE SERVICES, LLC
Associate id - owner
9638157100
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2019-07-01
First name - owner
MARI-TONI
Last name - owner
CARAG LANE
Percentage ownership
50
Enrollment id
O20100611000589
Associate id
6204966542
Organization name
ABUNDANT HOSPICE SERVICES, LLC
Associate id - owner
9638157100
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-07-01
First name - owner
MARI-TONI
Last name - owner
CARAG LANE
Title - owner
CFO/CEO
Enrollment id
O20100611000589
Associate id
6204966542
Organization name
ABUNDANT HOSPICE SERVICES, LLC
Associate id - owner
9638157100
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-07-01
First name - owner
MARI-TONI
Last name - owner
CARAG LANE
Title - owner
LLC MEMBER
Enrollment id
O20100611000589
Associate id
6204966542
Organization name
ABUNDANT HOSPICE SERVICES, LLC
Associate id - owner
9638157100
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-07-01
First name - owner
MARI-TONI
Last name - owner
CARAG LANE
Title - owner
ADMINISTRATOR/VOLUNTEER COORD
Percentage ownership
50

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