Public record

CMS Hospice All Owners

Associate id: 8628392560 · 11 matching records

Enrollment id
O20150123000614
Associate id
8628392560
Organization name
ACHIEVA HOSPICE INC
Associate id - owner
1658741988
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-06-30
Organization name - owner
LEHMANN FAMILY 1991 TRUST
Address line 1 - owner
818 N MOUNTAIN AVE
Address line 2 - owner
STE 104
City - owner
UPLAND
State - owner
CA
Zip code - owner
917864164
Percentage ownership
20
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
TRUST
Owned by another org or ind - owner
N
Enrollment id
O20150123000614
Associate id
8628392560
Organization name
ACHIEVA HOSPICE INC
Associate id - owner
1850693169
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2014-10-09
First name - owner
CARLOS
Last name - owner
PAZ
Title - owner
AD;DIRECTOR OF PATIENT CARE SVCS
Enrollment id
O20150123000614
Associate id
8628392560
Organization name
ACHIEVA HOSPICE INC
Associate id - owner
2567832892
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-06-30
Organization name - owner
THE KLAVAN FAMILY TRUST
Address line 1 - owner
818 N MOUNTAIN AVE
Address line 2 - owner
STE 104
City - owner
UPLAND
State - owner
CA
Zip code - owner
917864164
Percentage ownership
20
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
TRUST
Owned by another org or ind - owner
N
Enrollment id
O20150123000614
Associate id
8628392560
Organization name
ACHIEVA HOSPICE INC
Associate id - owner
2668818345
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-06-30
First name - owner
JOSHUA
Last name - owner
KLAVAN
Title - owner
VICE PRESIDENT/SECRETARY
Enrollment id
O20150123000614
Associate id
8628392560
Organization name
ACHIEVA HOSPICE INC
Associate id - owner
6103229455
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-06-30
Organization name - owner
THE TZIPPY FRIEDMAN NOTIS 1990 TRUST
Address line 1 - owner
818 N MOUNTAIN AVE
Address line 2 - owner
STE 104
City - owner
UPLAND
State - owner
CA
Zip code - owner
917864164
Percentage ownership
20
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
TRUST
Owned by another org or ind - owner
N
Enrollment id
O20150123000614
Associate id
8628392560
Organization name
ACHIEVA HOSPICE INC
Associate id - owner
7012387343
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-06-30
Organization name - owner
IRA D FRIEDMAN 1991 TRUST
Address line 1 - owner
818 N MOUNTAIN AVE
Address line 2 - owner
STE 104
City - owner
UPLAND
State - owner
CA
Zip code - owner
917864164
Percentage ownership
20
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
TRUST
Owned by another org or ind - owner
N
Enrollment id
O20150123000614
Associate id
8628392560
Organization name
ACHIEVA HOSPICE INC
Associate id - owner
8820092844
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2017-06-13
First name - owner
JEFFREY
Middle name - owner
R
Last name - owner
UNGER
Title - owner
MD;
Enrollment id
O20150123000614
Associate id
8628392560
Organization name
ACHIEVA HOSPICE INC
Associate id - owner
8921478256
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-06-30
Organization name - owner
FRIEDMAN FAMILY TRUST
Address line 1 - owner
818 N MOUNTAIN AVE
Address line 2 - owner
STE 104
City - owner
UPLAND
State - owner
CA
Zip code - owner
917864164
Percentage ownership
20
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
TRUST
Owned by another org or ind - owner
N
Enrollment id
O20150123000614
Associate id
8628392560
Organization name
ACHIEVA HOSPICE INC
Associate id - owner
9335057561
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2003-02-03
First name - owner
IRA
Middle name - owner
DAVID
Last name - owner
FRIEDMAN
Percentage ownership
20
Enrollment id
O20150123000614
Associate id
8628392560
Organization name
ACHIEVA HOSPICE INC
Associate id - owner
9335057561
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2003-02-03
First name - owner
IRA
Middle name - owner
DAVID
Last name - owner
FRIEDMAN
Title - owner
PRESIDENT/TREASURER
Percentage ownership
20
Enrollment id
O20150123000614
Associate id
8628392560
Organization name
ACHIEVA HOSPICE INC
Associate id - owner
9335057561
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2003-02-03
First name - owner
IRA
Middle name - owner
DAVID
Last name - owner
FRIEDMAN
Title - owner
PRESIDENT
Percentage ownership
20

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