Public record

CMS Hospice All Owners

Associate id: 9032459219 · 18 matching records

Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
0547500738
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-12-28
First name - owner
ELSY
Last name - owner
VARGHESE
Title - owner
BOARD MEMBER
Percentage ownership
100
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
0547500738
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-12-28
First name - owner
ELSY
Last name - owner
VARGHESE
Title - owner
ALT SUP NURSE
Percentage ownership
100
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
0648510834
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-28
First name - owner
MINI
Last name - owner
PRINCE
Percentage ownership
50
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
0648510834
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-12-28
First name - owner
MINI
Last name - owner
PRINCE
Title - owner
PRES
Percentage ownership
100
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
0648510834
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-12-28
First name - owner
MINI
Last name - owner
PRINCE
Percentage ownership
100
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
5193825727
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-28
First name - owner
VALSAMMA
Last name - owner
THOMAS
Percentage ownership
50
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
5193825727
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-12-28
First name - owner
VALSAMMA
Last name - owner
THOMAS
Title - owner
ALT ADMIN
Percentage ownership
100
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
5193825727
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-12-28
First name - owner
VALSAMMA
Last name - owner
THOMAS
Title - owner
VP
Percentage ownership
100
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
5597222935
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2026-05-01
First name - owner
PHEBA
Last name - owner
THOMAS
Title - owner
SUPERVISING NURSE
Percentage ownership
0
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
6002156296
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-12-28
First name - owner
SAMIRA
Last name - owner
AMLANI
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
6002156296
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-12-28
First name - owner
SAMIRA
Last name - owner
AMLANI
Title - owner
SUP NURSE
Percentage ownership
100
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
6002916632
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-12-28
First name - owner
THOMAS
Last name - owner
GEORGE
Title - owner
BOARD MEMBER
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-12-28
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-12-28
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
ADMIN & CEO
Percentage ownership
100
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
7618108200
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2026-05-01
First name - owner
GLORIA
Middle name - owner
A
Last name - owner
FLACK
Title - owner
SUPERVISING NURSE
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
7911239322
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-12-28
First name - owner
MARY
Last name - owner
AJOSE
Title - owner
SUPERVISING NURSE
Percentage ownership
100
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
9830485614
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-07-16
First name - owner
JUNAID
Last name - owner
KALIA
Title - owner
MEDICAL DIRECTOR
Percentage ownership
0
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
9830485614
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-05-01
First name - owner
JUNAID
Last name - owner
KALIA
Title - owner
ALTERNATE SUPERVISING NURSE
Percentage ownership
0

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