Public record

CMS Hospice All Owners

Associate id: 9638089972 · 44 matching records

Enrollment id
O20131206001071
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
2365352606
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1983-06-02
First name - owner
LESLIE
Last name - owner
PEMBROOK
Title - owner
PRESIDENT/CEO
Percentage ownership
100
Enrollment id
O20131206001071
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
2365352606
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
1983-06-02
First name - owner
LESLIE
Last name - owner
PEMBROOK
Title - owner
VICE PRESIDENT/CEO
Percentage ownership
20
Enrollment id
O20131206001071
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
2365352606
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-04-17
First name - owner
LESLIE
Last name - owner
PEMBROOK
Percentage ownership
100
Enrollment id
O20131206001071
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
4486812674
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-05-01
First name - owner
RYAN
Last name - owner
GRISARD
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
20
Enrollment id
O20131206001071
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
4486812674
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2015-05-01
First name - owner
RYAN
Last name - owner
GRISARD
Percentage ownership
20
Enrollment id
O20131206001071
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
6204193709
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2012-12-01
First name - owner
KIM
Middle name - owner
MARIE
Last name - owner
COX
Title - owner
ADMINISTRATOR
Percentage ownership
40
Enrollment id
O20131206001071
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
6608990890
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2017-01-09
First name - owner
KRISTINA
Middle name - owner
V
Last name - owner
NIKOLAKEAS
Title - owner
MD;
Percentage ownership
20
Enrollment id
O20131206001071
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
9638089972
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2014-04-17
Organization name - owner
THE MEDICAL TEAM, INC.
Doing business as name - owner
THE MEDICAL TEAM HOSPICE
Address line 1 - owner
5406 GATEWAY CTR
Address line 2 - owner
STE F
City - owner
FLINT
State - owner
MI
Zip code - owner
485073933
Percentage ownership
100
Corporation - owner
Y
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20140919000979
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
2365352606
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1983-06-02
First name - owner
LESLIE
Last name - owner
PEMBROOK
Percentage ownership
100
Enrollment id
O20140919000979
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
2365352606
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
1983-06-02
First name - owner
LESLIE
Last name - owner
PEMBROOK
Title - owner
PRESIDENT/CEO
Percentage ownership
10
Enrollment id
O20140919000979
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
3072647783
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2024-09-01
First name - owner
JEFFREY
Middle name - owner
LOUIS
Last name - owner
PROVIZER
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20140919000979
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
4486812674
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-10-01
First name - owner
RYAN
Last name - owner
GRISARD
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
10
Enrollment id
O20140919000979
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
9133667637
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-07-22
First name - owner
THEODORE
Middle name - owner
MICHAEL
Last name - owner
PRENTICE
Title - owner
AD;
Percentage ownership
40
Enrollment id
O20160622000046
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
2365352606
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1983-06-02
First name - owner
LESLIE
Last name - owner
PEMBROOK
Title - owner
PRESIDENT/CEO
Percentage ownership
100
Enrollment id
O20160622000046
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
2365352606
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
1983-06-02
First name - owner
LESLIE
Last name - owner
PEMBROOK
Percentage ownership
30
Enrollment id
O20160622000046
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
2365352606
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1983-06-02
First name - owner
LESLIE
Last name - owner
PEMBROOK
Title - owner
PRESIDENT/CEO
Percentage ownership
50
Enrollment id
O20160622000046
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
4486130580
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2026-03-01
First name - owner
WENDY
Middle name - owner
MARIE
Last name - owner
ARNOLD
Title - owner
AD;
Percentage ownership
20
Enrollment id
O20160622000046
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
4486812674
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-05-01
First name - owner
RYAN
Last name - owner
GRISARD
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
50
Enrollment id
O20160622000046
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
4486812674
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2015-05-01
First name - owner
RYAN
Last name - owner
GRISARD
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
0
Enrollment id
O20160622000046
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
4486812674
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2012-02-10
First name - owner
RYAN
Last name - owner
GRISARD
Percentage ownership
30
Enrollment id
O20160622000046
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
4688644636
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2021-10-08
First name - owner
MACIEJ
Last name - owner
SOLAREWICZ
Title - owner
MD;
Enrollment id
O20160622000046
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
5991063489
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
1989-04-15
First name - owner
ANGIE
Last name - owner
HARRIS
Title - owner
CORPORATE ACCOUNTS RECEIVABLE MG
Percentage ownership
0
Enrollment id
O20160622000046
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
9638089972
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
1983-06-02
Organization name - owner
THE MEDICAL TEAM, INC.
Doing business as name - owner
THE MEDICAL TEAM HOSPICE
Address line 1 - owner
1896 PRESTON WHITE DR
City - owner
RESTON
State - owner
VA
Zip code - owner
201914325
Percentage ownership
100
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
N
Enrollment id
O20170622001944
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
2365352606
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1983-06-02
First name - owner
LESLIE
Last name - owner
PEMBROOK
Title - owner
PRESIDENT/CEO
Percentage ownership
100
Enrollment id
O20170622001944
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
2365352606
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1983-06-02
First name - owner
LESLIE
Last name - owner
PEMBROOK
Title - owner
PRESIDENT/CEO
Percentage ownership
20
Enrollment id
O20170622001944
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
3274041561
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-07-28
First name - owner
JENNIFER
Middle name - owner
GAIL
Last name - owner
TOMS
Title - owner
AD;
Percentage ownership
30
Enrollment id
O20170622001944
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
3577859073
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2024-08-16
First name - owner
BRITTANY
Middle name - owner
ANN
Last name - owner
LAMB
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20170622001944
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
4486130580
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-11-01
First name - owner
WENDY
Middle name - owner
MARIE
Last name - owner
ARNOLD
Title - owner
ALTERNATE ADMINISTRATOR
Percentage ownership
30
Enrollment id
O20170622001944
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
4486812674
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2015-05-01
First name - owner
RYAN
Last name - owner
GRISARD
Title - owner
CFO
Percentage ownership
20
Enrollment id
O20170622001944
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
4486812674
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2015-05-01
First name - owner
RYAN
Last name - owner
GRISARD
Title - owner
CFO
Percentage ownership
20
Enrollment id
O20170622001944
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
9638089972
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
1983-06-02
Organization name - owner
THE MEDICAL TEAM, INC.
Doing business as name - owner
THE MEDICAL TEAM HOSPICE
Address line 1 - owner
1896 PRESTON WHITE DR
City - owner
RESTON
State - owner
VA
Zip code - owner
201914325
Percentage ownership
100
Corporation - owner
Y
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
N
Enrollment id
O20170816004199
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
0840373239
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2021-11-01
First name - owner
GEORGE
Middle name - owner
KIMBELL
Last name - owner
WILCOX
Title - owner
MD;
Enrollment id
O20170816004199
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
2365352606
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1983-06-02
First name - owner
LESLIE
Last name - owner
PEMBROOK
Title - owner
PRESIDENT/CEO
Percentage ownership
100
Enrollment id
O20170816004199
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
2365352606
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1983-06-02
First name - owner
LESLIE
Last name - owner
PEMBROOK
Title - owner
PRESIDENT/CEO
Percentage ownership
5
Enrollment id
O20170816004199
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
4284021742
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-05-10
First name - owner
MARTHA
Last name - owner
NARANJO
Title - owner
ADMINISTRATOR
Percentage ownership
20
Enrollment id
O20170816004199
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
4486130580
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-08-16
First name - owner
WENDY
Middle name - owner
MARIE
Last name - owner
ARNOLD
Title - owner
CORPORATE DIR, CLINICAL EXCELLENCE
Percentage ownership
55
Enrollment id
O20170816004199
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
4486812674
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2015-05-01
First name - owner
RYAN
Last name - owner
GRISARD
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
20
Enrollment id
O20170816004199
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
9638089972
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
1983-06-02
Organization name - owner
THE MEDICAL TEAM, INC.
Doing business as name - owner
THE MEDICAL TEAM HOSPICE
Address line 1 - owner
1896 PRESTON WHITE DR
City - owner
RESTON
State - owner
VA
Zip code - owner
201914325
Corporation - owner
Y
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
N
Enrollment id
O20171117001809
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
0143573147
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2014-12-01
First name - owner
ADEMAR
Last name - owner
GARZA
Title - owner
REGIONAL DIRECTOR
Percentage ownership
20
Enrollment id
O20171117001809
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
0840373239
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2023-04-01
First name - owner
GEORGE
Middle name - owner
KIMBELL
Last name - owner
WILCOX
Title - owner
MD;
Percentage ownership
10
Enrollment id
O20171117001809
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
1951845700
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-06-06
First name - owner
LAURA
Last name - owner
GARCIA
Title - owner
AD;
Percentage ownership
30
Enrollment id
O20171117001809
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
2365352606
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1983-06-02
First name - owner
LESLIE
Last name - owner
PEMBROOK
Title - owner
PRESIDENT/CEO
Percentage ownership
100
Enrollment id
O20171117001809
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
2365352606
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
1983-06-02
First name - owner
LESLIE
Last name - owner
PEMBROOK
Title - owner
PRESIDENT/CEO
Percentage ownership
20
Enrollment id
O20171117001809
Associate id
9638089972
Organization name
THE MEDICAL TEAM, INC.
Associate id - owner
4486812674
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2015-05-01
First name - owner
RYAN
Last name - owner
GRISARD
Title - owner
CFO
Percentage ownership
20

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