Public record

CMS Hospice All Owners

Associate id: 7618880097 · 11 matching records

Enrollment id
O20050318000074
Associate id
7618880097
Organization name
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Associate id - owner
1052751302
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-01-01
First name - owner
MONIQUE
Middle name - owner
BUSHORE
Last name - owner
GABLEHOUSE
Title - owner
COO POST ACUTE CARE
Percentage ownership
100
Enrollment id
O20050318000074
Associate id
7618880097
Organization name
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Associate id - owner
1052751302
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-01
First name - owner
MONIQUE
Middle name - owner
BUSHORE
Last name - owner
GABLEHOUSE
Title - owner
COO POST ACUTE CARE
Percentage ownership
100
Enrollment id
O20050318000074
Associate id
7618880097
Organization name
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Associate id - owner
2769536440
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-01-01
First name - owner
CHERYL
Last name - owner
MADAWATTAGE
Title - owner
EXECUTIVE DIRECTOR HOSPICE
Percentage ownership
100
Enrollment id
O20050318000074
Associate id
7618880097
Organization name
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Associate id - owner
2769536440
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-01
First name - owner
CHERYL
Last name - owner
MADAWATTAGE
Title - owner
EXECUTIVE DIRECTOR HOSPICE
Percentage ownership
100
Enrollment id
O20050318000074
Associate id
7618880097
Organization name
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Associate id - owner
3577616036
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-07-22
First name - owner
WILLIAM
Last name - owner
HOWE
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20050318000074
Associate id
7618880097
Organization name
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Associate id - owner
3577616036
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-07-22
First name - owner
WILLIAM
Last name - owner
HOWE
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20050318000074
Associate id
7618880097
Organization name
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Associate id - owner
6608971163
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-01-01
First name - owner
HOPE
Middle name - owner
A
Last name - owner
WECHKIN
Title - owner
HOSPICE MEDICAL DIRECTOR
Percentage ownership
100
Enrollment id
O20050318000074
Associate id
7618880097
Organization name
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Associate id - owner
6608971163
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-01
First name - owner
HOPE
Middle name - owner
A
Last name - owner
WECHKIN
Title - owner
HOSPICE MEDICAL DIRECTOR
Percentage ownership
100
Enrollment id
O20050318000074
Associate id
7618880097
Organization name
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Associate id - owner
7618880097
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1972-03-09
Organization name - owner
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Doing business as name - owner
EVERGREEN HEALTHCARE
Address line 1 - owner
12040 NE 128TH STREET
City - owner
KIRKLAND
State - owner
WA
Zip code - owner
980343013
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
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
Y
Other type text - owner
MUNICIPAL CORP GOVT ENTITY/PUB.HOSP DIST
Enrollment id
O20050318000074
Associate id
7618880097
Organization name
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Associate id - owner
8527256940
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-12-10
First name - owner
ETTORE
Middle name - owner
G
Last name - owner
PALAZZO
Title - owner
CEO
Enrollment id
O20050318000074
Associate id
7618880097
Organization name
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Associate id - owner
8527256940
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-12-10
First name - owner
ETTORE
Middle name - owner
G
Last name - owner
PALAZZO
Title - owner
CEO

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