Public record

CMS Hospice All Owners

Associate id: 7911360680 · 4 matching records

Enrollment id
O20230828003783
Associate id
7911360680
Organization name
PELICAN HOSPICE LLC
Associate id - owner
3072734623
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-06-06
First name - owner
VARGHESE
Last name - owner
ZACHARIA
Title - owner
OWNER
Percentage ownership
100
Enrollment id
O20230828003783
Associate id
7911360680
Organization name
PELICAN HOSPICE LLC
Associate id - owner
3072734623
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-08-23
First name - owner
VARGHESE
Last name - owner
ZACHARIA
Title - owner
AD;
Enrollment id
O20230828003783
Associate id
7911360680
Organization name
PELICAN HOSPICE LLC
Associate id - owner
3072734623
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-06-06
First name - owner
VARGHESE
Last name - owner
ZACHARIA
Title - owner
OWNER
Percentage ownership
100
Enrollment id
O20230828003783
Associate id
7911360680
Organization name
PELICAN HOSPICE LLC
Associate id - owner
4981687050
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-06-06
First name - owner
VENKATESH
Middle name - owner
V
Last name - owner
MADHAV
Title - owner
MD;

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