Public record

CMS Hospice All Owners

Associate id: 9638556582 · 11 matching records

Enrollment id
O20220513001759
Associate id
9638556582
Organization name
SERENITY HOSPICE, LLC
Associate id - owner
1052751096
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-01-02
First name - owner
LYNN
Last name - owner
ANSON
Title - owner
ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20220513001759
Associate id
9638556582
Organization name
SERENITY HOSPICE, LLC
Associate id - owner
2163676644
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-01-01
First name - owner
BARUCH
Last name - owner
JEREMIAS
Title - owner
TRUSTEE OF 10-26 NATIONWIDE TR.
Percentage ownership
37.5
Enrollment id
O20220513001759
Associate id
9638556582
Organization name
SERENITY HOSPICE, LLC
Associate id - owner
2365829215
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-03-10
Organization name - owner
MO HOSPICE INVESTMENTS, LLC
Address line 1 - owner
477 N LINDBERGH BLVD
Address line 2 - owner
STE 310
City - owner
SAINT LOUIS
State - owner
MO
Zip code - owner
631417856
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
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
O20220513001759
Associate id
9638556582
Organization name
SERENITY HOSPICE, LLC
Associate id - owner
4183001035
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-03-10
First name - owner
YOSEF
Last name - owner
MANNE
Title - owner
MEMBER
Percentage ownership
10
Enrollment id
O20220513001759
Associate id
9638556582
Organization name
SERENITY HOSPICE, LLC
Associate id - owner
4183001035
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-03-10
First name - owner
YOSEF
Last name - owner
MANNE
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20220513001759
Associate id
9638556582
Organization name
SERENITY HOSPICE, LLC
Associate id - owner
5092192948
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-03-10
First name - owner
NAFTALI
Last name - owner
FRIEDMAN
Title - owner
MEMBER
Percentage ownership
5
Enrollment id
O20220513001759
Associate id
9638556582
Organization name
SERENITY HOSPICE, LLC
Associate id - owner
5799916029
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-03-10
First name - owner
CHAIM
Middle name - owner
DOV
Last name - owner
WINTER
Title - owner
MEMBER
Percentage ownership
5
Enrollment id
O20220513001759
Associate id
9638556582
Organization name
SERENITY HOSPICE, LLC
Associate id - owner
6406151398
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-01-01
Organization name - owner
10-26 NATIONWIDE TR
Address line 1 - owner
8 PRIMROSE DR
City - owner
LAKEWOOD
State - owner
NJ
Zip code - owner
087013283
Percentage ownership
37.5
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
Enrollment id
O20220513001759
Associate id
9638556582
Organization name
SERENITY HOSPICE, LLC
Associate id - owner
6901025055
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2022-05-01
First name - owner
SHAWN
Middle name - owner
MICHAEL
Last name - owner
GAO
Title - owner
MEDICAL DIRECTOR
Percentage ownership
100
Enrollment id
O20220513001759
Associate id
9638556582
Organization name
SERENITY HOSPICE, LLC
Associate id - owner
6901283852
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-03-10
First name - owner
MENACHEM
Last name - owner
WINTER
Title - owner
MEMBER
Percentage ownership
5
Enrollment id
O20220513001759
Associate id
9638556582
Organization name
SERENITY HOSPICE, LLC
Associate id - owner
9436158904
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-01-01
First name - owner
JUDAH
Last name - owner
BIENSTOCK
Title - owner
MEMBER
Percentage ownership
37.5

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