Public record

CMS Hospice All Owners

Associate id - owner: 0446161012 · 5 matching records

Enrollment id
O20040511001829
Associate id
7012906209
Organization name
EVERGREEN HOSPICE CARE, INC.
Associate id - owner
0446161012
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2004-03-11
First name - owner
LYDIA
Middle name - owner
Y
Last name - owner
AHN
Percentage ownership
100
Enrollment id
O20040511001829
Associate id
7012906209
Organization name
EVERGREEN HOSPICE CARE, INC.
Associate id - owner
0446161012
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2004-03-11
First name - owner
LYDIA
Middle name - owner
Y
Last name - owner
AHN
Title - owner
CEO, SECRETARY, BOARD MEMBER
Percentage ownership
98
Enrollment id
O20040511001829
Associate id
7012906209
Organization name
EVERGREEN HOSPICE CARE, INC.
Associate id - owner
0446161012
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2004-03-11
First name - owner
LYDIA
Middle name - owner
Y
Last name - owner
AHN
Title - owner
CEO, SECRETARY, BOARD MEMBER
Percentage ownership
98
Enrollment id
O20040511001829
Associate id
7012906209
Organization name
EVERGREEN HOSPICE CARE, INC.
Associate id - owner
0446161012
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2004-03-11
First name - owner
LYDIA
Middle name - owner
Y
Last name - owner
AHN
Title - owner
CEO, SECRETARY, BOARD MEMBER,
Percentage ownership
98
Enrollment id
O20040511001829
Associate id
7012906209
Organization name
EVERGREEN HOSPICE CARE, INC.
Associate id - owner
0446161012
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2004-03-11
First name - owner
LYDIA
Middle name - owner
Y
Last name - owner
AHN
Title - owner
CEO, SECRETARY, BOARD MEMBER
Percentage ownership
98

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