Public record

CMS Hospice All Owners

Associate id: 6901300425 · 7 matching records

Enrollment id
O20250918000834
Associate id
6901300425
Organization name
ANTHEM HOSPICE OF OKLAHOMA CITY LLC
Associate id - owner
0941731996
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-10-16
First name - owner
JEFFREY
Last name - owner
ELLIOTT
Title - owner
PARTNER
Percentage ownership
25
Enrollment id
O20250918000834
Associate id
6901300425
Organization name
ANTHEM HOSPICE OF OKLAHOMA CITY LLC
Associate id - owner
1153232756
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2024-12-20
First name - owner
WADDAH
Last name - owner
NASSAR
Title - owner
MD;
Enrollment id
O20250918000834
Associate id
6901300425
Organization name
ANTHEM HOSPICE OF OKLAHOMA CITY LLC
Associate id - owner
1355392218
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-10-16
First name - owner
TARIK
Middle name - owner
M
Last name - owner
SHIRIF
Percentage ownership
25
Enrollment id
O20250918000834
Associate id
6901300425
Organization name
ANTHEM HOSPICE OF OKLAHOMA CITY LLC
Associate id - owner
3678959871
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-10-16
First name - owner
JOSHUA
Last name - owner
SMITH
Title - owner
DIRECTOR
Percentage ownership
25
Enrollment id
O20250918000834
Associate id
6901300425
Organization name
ANTHEM HOSPICE OF OKLAHOMA CITY LLC
Associate id - owner
6103321716
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-12-20
First name - owner
NADAR
Last name - owner
NASSAR
Title - owner
AD;
Enrollment id
O20250918000834
Associate id
6901300425
Organization name
ANTHEM HOSPICE OF OKLAHOMA CITY LLC
Associate id - owner
8527203611
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-10-16
First name - owner
DAVID
Middle name - owner
R
Last name - owner
KLEMENTZ
Title - owner
MANAGING PARTNER
Percentage ownership
25
Enrollment id
O20250918000834
Associate id
6901300425
Organization name
ANTHEM HOSPICE OF OKLAHOMA CITY LLC
Associate id - owner
9830694447
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-10-16
Organization name - owner
CENTRIX FUND I LP
Address line 1 - owner
1840 E UNIVERSITY DR
Address line 2 - owner
STE 1
City - owner
MESA
State - owner
AZ
Zip code - owner
852038237
Percentage ownership
100
Created for acquisition - owner
Y
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
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
Owned by another org or ind - owner
N

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