Public record

CMS Hospice All Owners

Associate id: 9335113463 · 10 matching records

Enrollment id
O20040824000483
Associate id
9335113463
Organization name
ST ANTHONY HOSPICE
Associate id - owner
3971877606
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-04-12
First name - owner
ADELIZA
Middle name - owner
B
Last name - owner
ORTEGA
Title - owner
OWNER
Percentage ownership
33.3
Enrollment id
O20040824000483
Associate id
9335113463
Organization name
ST ANTHONY HOSPICE
Associate id - owner
3971877606
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-08-22
First name - owner
ADELIZA
Middle name - owner
B
Last name - owner
ORTEGA
Title - owner
VICE PRESIDENT/CFO/TREASURER
Percentage ownership
33.3
Enrollment id
O20040824000483
Associate id
9335113463
Organization name
ST ANTHONY HOSPICE
Associate id - owner
6204100050
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-04-12
First name - owner
TAMERLANE
Middle name - owner
GELONGA
Last name - owner
MOPIA
Title - owner
OWNER
Percentage ownership
33.4
Enrollment id
O20040824000483
Associate id
9335113463
Organization name
ST ANTHONY HOSPICE
Associate id - owner
6204100050
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2007-08-22
First name - owner
TAMERLANE
Middle name - owner
GELONGA
Last name - owner
MOPIA
Title - owner
BOARD MEMBER/SECRETARY
Percentage ownership
33.4
Enrollment id
O20040824000483
Associate id
9335113463
Organization name
ST ANTHONY HOSPICE
Associate id - owner
8325942295
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2008-03-31
First name - owner
RODOLFO
Last name - owner
PROTACIO
Enrollment id
O20040824000483
Associate id
9335113463
Organization name
ST ANTHONY HOSPICE
Associate id - owner
8921372772
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-04-12
First name - owner
MARLYN
Middle name - owner
P
Last name - owner
AGUILAR
Title - owner
OWNER
Percentage ownership
33.3
Enrollment id
O20040824000483
Associate id
9335113463
Organization name
ST ANTHONY HOSPICE
Associate id - owner
8921372772
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-04-12
First name - owner
MARLYN
Middle name - owner
P
Last name - owner
AGUILAR
Title - owner
CEO / PRESIDENT
Percentage ownership
33.3
Enrollment id
O20040824000483
Associate id
9335113463
Organization name
ST ANTHONY HOSPICE
Associate id - owner
8921372772
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-08-22
First name - owner
MARLYN
Middle name - owner
P
Last name - owner
AGUILAR
Title - owner
CEO / PRESIDENT
Percentage ownership
33.3
Enrollment id
O20040824000483
Associate id
9335113463
Organization name
ST ANTHONY HOSPICE
Associate id - owner
8921372772
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-04-12
First name - owner
MARLYN
Middle name - owner
P
Last name - owner
AGUILAR
Title - owner
AD;
Percentage ownership
33.3
Enrollment id
O20040824000483
Associate id
9335113463
Organization name
ST ANTHONY HOSPICE
Associate id - owner
8921372772
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-04-12
First name - owner
MARLYN
Middle name - owner
P
Last name - owner
AGUILAR
Title - owner
ADMINISTRATOR
Percentage ownership
33.3

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