Public record

CMS Hospice All Owners

Associate id - owner: 0446477988 · 4 matching records

Enrollment id
O20171012002030
Associate id
2961777248
Organization name
DIVINE GRACE HOSPICE, INC.
Associate id - owner
0446477988
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-03-12
First name - owner
HELEN
Last name - owner
MOHSENZADEH
Percentage ownership
81
Enrollment id
O20171012002030
Associate id
2961777248
Organization name
DIVINE GRACE HOSPICE, INC.
Associate id - owner
0446477988
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-04-12
First name - owner
HELEN
Last name - owner
MOHSENZADEH
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20171012002030
Associate id
2961777248
Organization name
DIVINE GRACE HOSPICE, INC.
Associate id - owner
0446477988
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-04-12
First name - owner
HELEN
Last name - owner
MOHSENZADEH
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20171012002030
Associate id
2961777248
Organization name
DIVINE GRACE HOSPICE, INC.
Associate id - owner
0446477988
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-04-12
First name - owner
HELEN
Last name - owner
MOHSENZADEH
Title - owner
CEO
Percentage ownership
100

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